Mark J Mills, D.D.S. Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Monte Vista, CO
- NPI
- 1487848065
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 3617 (CO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-08-28
- Last updated
- 2007-08-28
Practice location
10 Rupert St
Monte Vista, CO 81144-1042
(719) 852-3011