Individual
DR. MARK DAVID DEVINCENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2805 SUMMER OAKS DR, MEMPHIS, TN 38134-3812
(901) 881-0483
Mailing address
2805 SUMMER OAKS DR, MEMPHIS, TN 38134-3812
(901) 881-0483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10869
TN
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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