Individual
DR. MARK WILLIAM JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1771 LEE RD, SUITE A, LITHIA SPRINGS, GA 30122-3071
(770) 739-1111
(770) 739-6465
Mailing address
1771 LEE RD, SUITE A, LITHIA SPRINGS, GA 30122-3071
(770) 739-1111
(770) 739-6465
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10456
GA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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