Individual
MARK DAVID DLUGOKINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 RIVERSTONE VISTA, STE 202, BLUE RIDGE, GA 30513
(706) 258-4166
(706) 258-4167
Mailing address
101 RIVERSTONE VISTA, STE 202, BLUE RIDGE, GA 30513
(706) 258-4166
(706) 258-4167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011943
GA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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