Individual
DR. MARK ST. GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10128 CEDAR LN, KENSINGTON, MD 20895-3842
(301) 530-2772
Mailing address
10128 CEDAR LN, KENSINGTON, MD 20895-3842
(301) 530-2772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9312
MD
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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