Individual
DR. MARK LAWRENCE MEYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1544 N PEACE HAVEN RD, WINSTON-SALEM, NC 27104-1328
(336) 768-1332
(336) 768-9470
Mailing address
1544 N PEACE HAVEN RD, WINSTON-SALEM, NC 27104-1328
(336) 768-1332
(336) 768-9470
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5515
NC
1223P0221X
Pediatric Dentistry
6798
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899590C
—
NC
Enumeration date
03/03/2006
Last updated
07/08/2007
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