Individual
DR. MARK JACKSON MIZZELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7701 WHITE HORSE RD, GREENVILLE, SC 29611-1827
(864) 246-1811
Mailing address
7701 WHITE HORSE RD, GREENVILLE, SC 29611-1827
(864) 246-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8228
SC
Other
Enumeration date
06/24/2013
Last updated
08/17/2023
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