Individual
MARK RICHARD SARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2323 PARKWOOD DR, BRUNSWICK, GA 31520-4720
(912) 265-7193
(912) 265-6799
Mailing address
2323 PARKWOOD DR, BRUNSWICK, GA 31520-4720
(912) 265-7193
(912) 265-6799
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010170
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821940
UNITED CONCORDIA PROVIDER
GA
Enumeration date
05/09/2007
Last updated
07/08/2007
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