Individual
DR. MARK FITZHUGH BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
513 W COMMERCE ST, ABERDEEN, MS 39730
(601) 540-8057
Mailing address
424 ROCK HILL CIR, MADISON, MS 39110-9539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27435
TX
122300000X
Dentist
3592-11
MS
1223G0001X
General Practice Dentistry
Primary
3592-11
MS
Other
Enumeration date
06/15/2011
Last updated
06/22/2020
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