Organization
GENEVA FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID MARKHAM DMD (SOLE MEMBER-OWNER)
(334) 805-3975
Entity
Organization
Contact information
Practice address
100 W LAKE PROFESSIONAL PARK, SUITE 5, GENEVA, AL 36340-1203
(334) 805-3975
Mailing address
100 W LAKE PROFESSIONAL PARK, SUITE 5, GENEVA, AL 36340-1203
(334) 805-3975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5826
AL
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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