Most Relevant Information
Provider Data
| NPI Number: | 1003052861 |
| Provider Name: | MARK W RECKER D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 06120 |
Most Important Dates
| Enumeration Date: | 12/29/2008 |
| Last Updated: | 12/29/2008 |
Provider Practice Location
935 MAIN ST
PELLA
IA
502191434
Practice Location Phone/Fax
| Phone: | 6416281604 |
| Fax: | 6826282075 |
Provider Mailing Location
935 MAIN ST
PELLA
IA
502191434
Provider Mailing Phone/Fax
| Phone: | 6416281604 |
| Fax: | 6826282075 |