Provider Demographics
NPI:1245284306
Name:DUVERNOIS, MARK FRANCIS (DDS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANCIS
Last Name:DUVERNOIS
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:5428 CACTUS HILL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6304
Mailing Address - Country:US
Mailing Address - Phone:915-875-0110
Mailing Address - Fax:915-587-8995
Practice Address - Street 1:7211 N MESA ST
Practice Address - Street 2:SUITE 1 SOUTH
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3611
Practice Address - Country:US
Practice Address - Phone:915-833-2827
Practice Address - Fax:915-587-8995
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX207511223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery