DR. Mark Phillip Gerald, D.D.S.
NPI #1265728612 in Petersburg, Virginia
Provider Information
- NPI Number
- 1265728612
- Entity Type
- Individual
- Name
- DR. Mark Phillip Gerald, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 23, 2011
- Last Updated
- Jun 23, 2011
Practice Location
- Address
- 3277 S CRATER RD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9285
- Phone
- (804) 732-5776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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