Individual
AMBER KRISTINA MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 CASCADE RD SW STE B, ATLANTA, GA 30331-2171
(678) 891-0069
Mailing address
284 FAIRWAY CIR, WESTON, FL 33326-1408
(954) 240-1476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123043
GA
122300000X
Dentist
DN27776
FL
Other
Enumeration date
04/09/2022
Last updated
08/15/2023
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