Organization
MARK A. ROLAND, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A ROLAND DMD (PRESIDENT)
(229) 244-0944
Entity
Organization
Contact information
Practice address
101 E NORTHSIDE DR, SUITE D, VALDOSTA, GA 31602-1724
(229) 244-0944
(229) 244-0965
Mailing address
101 E NORTHSIDE DR, SUITE D, VALDOSTA, GA 31602-1724
(229) 244-0944
(229) 244-0965
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013748
GA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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