Individual
DR. MARK RELIQUIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3210 WILKINSON BLVD UNIT B2, CHARLOTTE, NC 28208-5662
(704) 900-5445
Mailing address
1115 S MINT ST APT 524, CHARLOTTE, NC 28203-4099
(662) 528-3815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13740
NC
Other
Enumeration date
06/10/2024
Last updated
06/12/2024
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