Individual
DR. MARK W DUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 EISENHOWER DR, SAVANNAH, GA 31406-2608
(912) 355-7022
(912) 355-1415
Mailing address
500 EISENHOWER DR, SAVANNAH, GA 31406-2608
(912) 355-7022
(912) 355-1415
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3838
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DNO12058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114017530
GROUP NPI
GA
Enumeration date
04/24/2014
Last updated
04/24/2014
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