Individual
DR. MARK D BUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11828 FISHING POINT DR, SUITE 100, NEWPORT NEWS, VA 23606-4500
(757) 595-0496
(757) 595-0495
Mailing address
11828 FISHING POINT DR, SUITE 100, NEWPORT NEWS, VA 23606-4500
(757) 595-0496
(757) 595-0495
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401413415
VA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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