Mark A. Retterbush

NPI #1447487939 in Valdosta, Georgia

Provider Information

NPI Number: 1447487939
Entity Type: Organization
Organization Name: Mark A. Retterbush
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 11, 2009
Last Updated: Jun 11, 2009

Practice Location

Address: 2311 N PATTERSON ST
City: Valdosta
State: Georgia
ZIP Code: 31602-2510
Phone: (229) 244-1633

Authorized Official

Name: MARK ALLEN RETTERBUSH, D.M.D.
Title: DR/ OWNER
Phone: (229) 244-1633

Specialties & Taxonomy Codes

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

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