Most Relevant Information
Provider Data
| NPI Number: | 1003004490 |
| Provider Name: | RICHARD IRWIN MARKS DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 6894 |
Most Important Dates
| Enumeration Date: | 10/10/2007 |
| Last Updated: | 10/10/2007 |
Provider Practice Location
105 BELLVUE DR
FORT WORTH
TX
76134
Practice Location Phone/Fax
| Phone: | 8172932088 |
| Fax: | 8172938377 |
Provider Mailing Location
105 BELLVUE DR
FORT WORTH
TX
76134
Provider Mailing Phone/Fax
| Phone: | 8172932088 |
| Fax: | 8172932088 |