Individual
DR. MARK LYN PRESTWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1744 ROSWELL RD, STE.#310, MARIETTA, GA 30062-3979
(770) 973-8183
(770) 565-3961
Mailing address
2402 WOODBRIDGE DR, MARIETTA, GA 30066-2158
(770) 926-2358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010237
GA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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