Individual
DR. MARK RANDALL PATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
875 UNION AVE, UNIV. OF TENNESSEE, COLLEGE OF DENTISTRY, MEMPHIS, TN 38163-0001
(901) 448-7686
(901) 448-1625
Mailing address
875 UNION AVE, UNIV. OF TENNESSEE, COLLEGE OF DENTISTRY, MEMPHIS, TN 38163-0001
(901) 448-7686
(901) 448-1625
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS0000005108
TN
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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