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Organization
MARK H CACERES DMD LLC
Active
Organization
MARK H CACERES DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H CACERES DMD (DENTIST)
(770) 943-3344
Entity
Organization
Contact information
Practice address
4485 N TOWN SQ, SUITE 108, POWDER SPRINGS, GA 30127-2242
(770) 943-3344
(770) 943-2727
Mailing address
4485 N TOWN SQ, SUITE 108, POWDER SPRINGS, GA 30127-2242
(770) 943-3344
(770) 943-2727
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10991
GA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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