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Individual

DR. MARK E FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2000 DEAN AVE SE, ROME, GA 30161-6602
(706) 291-2526
(706) 291-8367
Mailing address
5 CAMELOT CIR SE, ROME, GA 30161-4028
(706) 291-2526
(706) 291-8367

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO12575
GA

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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