DR. Mark William Justice, D.M.D.

NPI #1669492617 in Lithia Springs, Georgia

Provider Information

NPI Number
1669492617
Entity Type
Individual
Name
DR. Mark William Justice, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.M.D.
Enumeration Date
Jul 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1771 LEE RD
Address 2
SUITE A
State
Georgia
ZIP Code
30122-3071
Phone
(770) 739-1111

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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