Elite Dental Care

NPI 1053635243 - Dentist - 1223G0001X

NPI Details
NPI 1053635243
Enumeration Date 03/17/2010
Last Updated 07/27/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARK A MARK
Position DENTIST
Phone (731) 855-1053
Fax (731) 855-8064
Practice Location
2066 US HIGHWAY 45 BYP S
TRENTON TN, 38382-3507, US
Phone (731) 855-1053
Fax (731) 855-8064
Business Location
2066 US HIGHWAY 45 BYP S
TRENTON TN, 38382-3507, US
Phone (731) 855-1053
Fax (731) 855-8064
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number 3510
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According to our database, Elite Dental Care NPI is 1053635243, taxonomy code is 1223G0001X and license number is 3510, license state is located at Tennessee. Elite Dental Care physically located at 2066 Us Highway 45 Byp S, Trenton TN, 38382-3507. NPI Number 1033115704 has the healthcare provider type.

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1053635243 NPI number is provided on an as is basis without warranty of any kind. 1053635243 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Dental Care are for informational purposes only.