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Individual

DR. MARK JAY KATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
2018 NEW GARDEN RD STE A, GREENSBORO, NC 27410-2486
(336) 286-5800
(336) 286-5801
Mailing address
2018 NEW GARDEN RD STE A, GREENSBORO, NC 27410-2486
(336) 286-5800
(336) 286-5801

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4915
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4915
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8994777
NC
Enumeration date
09/27/2006
Last updated
08/19/2011
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