Dr Mark D Land Dmd PC

NPI #1093221772 in Sulligent, Alabama

Provider Information

NPI Number: 1093221772
Entity Type: Organization
Organization Name: Dr Mark D Land Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2017
Last Updated: Dec 18, 2017

Practice Location

Address: 445 FRONT STREET
City: Sulligent
State: Alabama
ZIP Code: 35586
Phone: (205) 698-8113

Authorized Official

Name: STACY LAND
Title: OFFICE MANAGER
Phone: (205) 698-8113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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