Justice, Mark William
Justice, Mark William is an individual health care provider with primary practice located at 1771 Lee Rd Suite A, Lithia Springs GA 30122-3071. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Justice, Mark William can be contacted via phone (770) 739-1111.Contact Information
Primary practice address
1771 Lee Rd Suite A
Lithia Springs GA 30122-3071
Phone: (770) 739-1111
Fax: (770) 739-6465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10456 | Georgia |
Profile Details
| NPI number | 1669492617 |
|---|---|
| LBN Legal business name | Justice, Mark William |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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