Organization
MARK A LAWRENCE DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A LAWRENCE D.D.S. (OWNER)
(706) 327-6262
Entity
Organization
Contact information
Practice address
2570 BROOKSTONE CENTRE PARKWAY, SUITE 100, COLUMBUS, GA 31904-4672
(706) 327-6262
(706) 327-1250
Mailing address
2570 BROOKSTONE CENTRE PARKWAY, SUITE 100, COLUMBUS, GA 31904-4672
(706) 327-6262
(706) 327-1250
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
011761
GA
Other
Enumeration date
05/01/2007
Last updated
09/20/2010
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