Mark M. Widloski, DDS

NPI #1285631135 in Maryville, Tennessee

Provider Information

NPI Number
1285631135
Entity Type
Individual
Name
Mark M. Widloski, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Jul 7, 2005
Last Updated
Oct 10, 2011

Practice Location

Address
1505 E LAMAR ALEXANDER PKWY
ZIP Code
37804-5131
Phone
(865) 983-8630

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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