Individual
MR. MARK THOMAS GOODNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, P.A.
Contact information
Practice address
6538 GUNN HWY, TAMPA, FL 33625-4022
(813) 968-3737
(813) 968-4645
Mailing address
6538 GUNN HWY, TAMPA, FL 33625-4022
(813) 968-3737
(813) 968-4645
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15159
FL
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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