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Organization

MARK SHURETT DDS PC

Active
Other names
Help A Child Smile - Rural
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH P RHODES (VICE PRESIDENT)
(770) 760-7900
Entity
Organization

Contact information

Practice address
1806 OVER LAKE DR SE, CONYERS, GA 30013-1745
(770) 760-7900
(770) 760-1375
Mailing address
1806 OVER LAKE DR SE, CONYERS, GA 30013-1745
(770) 760-7900
(770) 760-1375

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
GA

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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