Mark Raymond Dmd Pllc

NPI #1518006766 in Coeburn, Virginia

Provider Information

NPI Number: 1518006766
Entity Type: Organization
Organization Name: Mark Raymond Dmd Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 208 FRONT ST.
City: Coeburn
State: Virginia
ZIP Code: 24230
Phone: (276) 395-6632

Authorized Official

Name: MARK RAYMOND, D.M.D
Title: MANAGING MEMBER
Phone: (276) 395-6632

Specialties & Taxonomy Codes

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

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