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Organization
MARK P. BENNER, D.D.S., P.C.
Active
Organization
MARK P. BENNER, D.D.S., P.C.
Active
Other names
Benner & Townsend Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY M CASTLE (DIRECTOR OF PAYOR CONTRACTS)
(912) 732-1504
Entity
Organization
Contact information
Practice address
212 E BROAD ST, WINDER, GA 30680-2202
(770) 867-3275
(770) 586-5718
Mailing address
212 E BROAD ST, WINDER, GA 30680-2202
(770) 867-3275
(770) 586-5718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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