Organization
DR MARK D LAND DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LAND (OFFICE MANAGER)
(205) 698-8113
Entity
Organization
Contact information
Practice address
445 FRONT STREET, SULLIGENT, AL 35586
(205) 698-8113
Mailing address
PO BOX 661, SULLIGENT, AL 35586-0661
(205) 698-8113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4714
AL
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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