Individual
DR. MARK J WEGZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
914 NEW HIGHWAY 68, SWEETWATER, TN 37874-2729
(423) 337-2034
(423) 337-2036
Mailing address
761 BROCHARDT BLVD, KNOXVILLE, TN 37934-0935
(865) 288-3940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901012859
MI
1223G0001X
General Practice Dentistry
Primary
8912
TN
1223G0001X
General Practice Dentistry
MI 012859
MI
Other
Enumeration date
03/27/2007
Last updated
02/07/2012
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