Organization
MARK J KATZ, DDS, MSD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAY KATZ DDS, MSD (PRESIDENT/OWNER)
(336) 286-5800
Entity
Organization
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
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
06/27/2008
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