Individual
MARK A MAUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
197 POINT LOOKOUT DR, WILKESBORO, NC 28697-7451
(954) 309-7684
Mailing address
197 POINT LOOKOUT DR, WILKESBORO, NC 28697-7451
(954) 309-7684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9460
FL
1223G0001X
General Practice Dentistry
Primary
NC11044
NC
Other
Enumeration date
09/26/2006
Last updated
12/02/2019
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