Individual
MARK SHIRCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 ROCKFORD ST, MOUNT AIRY, NC 27030-5205
(336) 793-7186
Mailing address
1151 AUGUSTINE HEIGHTS DR, WINSTON SALEM, NC 27103-5390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12425
NC
Other
Enumeration date
04/13/2021
Last updated
07/28/2021
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