Individual
MARK PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD, BUILDING 400 SUITE 150, SANDY SPRINGS, GA 30328-3032
(347) 598-2410
Mailing address
2005 IVY RIDGE RD SE, SMYRNA, GA 30080-3135
(347) 598-2410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015599
GA
Other
Enumeration date
03/21/2017
Last updated
03/22/2022
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