Individual
DR. MARK MACGAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1207 MACON VIEW DR, SUITE 102, CORDOVA, TN 38018-0627
(901) 754-3033
Mailing address
1207 MACON VIEW DR, SUITE 102, CORDOVA, TN 38018-0627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8139
TN
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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