Individual
DR. MARK THOMAS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14815 HIGHLAND DR, MC KENZIE, TN 38201-6228
(731) 352-2041
Mailing address
14815 HIGHLAND DR, MC KENZIE, TN 38201-6228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS003787
TN
Other
Enumeration date
06/14/2008
Last updated
06/14/2008
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