Individual provider · Type 1 NPI

Mark Randal Vandenberg, DDS

General Practice Dentistry · Oklahoma City, OK

NPI number 1275752834 Active

About NPI 1275752834

Mark Randal Vandenberg, DDS's National Provider Identifier is 1275752834, issued on Apr 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 8, 2007.