Koller, Mark John

Koller, Mark John is an individual health care provider with primary practice located at 1606 W Campbell St , Arlington Heights IL 60005-1516. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Koller, Mark John can be contacted via phone (847) 255-8439.

Contact Information

Primary practice address
1606 W Campbell St Arlington Heights IL 60005-1516
Phone: (847) 255-8439
Fax: (847) 255-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1841357522
LBN Legal business name Koller, Mark John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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