Individual
DR. MARK WAYNE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6731 MADISON ST, NEW PORT RICHEY, FL 34652-1928
(727) 842-5180
(727) 846-0755
Mailing address
6731 MADISON ST, NEW PORT RICHEY, FL 34652-1928
(727) 842-5180
(727) 846-0755
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN10802
FL
Other
Enumeration date
10/21/2005
Last updated
03/05/2020
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