Mark John Buitenwerf, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Decorah, IA
- NPI
- 1780873349
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 05817 (IA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-10-19
- Last updated
- 2007-10-19
Practice location
501 Sanford St
Decorah, IA 52101-2005
(563) 382-2441