Individual
DR. JONATHAN DAVID MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 W LAKE PROFESSIONAL PARK STE 5, GENEVA, AL 36340-1200
(334) 248-6816
Mailing address
100 W LAKE PROFESSIONAL PARK STE 5, GENEVA, AL 36340-1200
(334) 248-6816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5826
AL
Other
Enumeration date
05/26/2011
Last updated
07/03/2012
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