Dr. MARK ROBERT BIRMINGHAM --
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1538528641- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4501 E SNIDER DR, WASILLA, AK, 996547604
- Phone
- (907) 376-8400
- Fax
- (907) 376-8402
Specialties & Taxonomies
Dentist, General Practice
Primary License: AK #106211