MARK WILLIS

PEACHTREE CITY, GA
NPI1114810991
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: GA  DN123776)
Enumeration Date2025-05-31
Last Update Date2025-05-31
Business Address
MARK WILLIS DMD
2513 REDWINE RD STE C
PEACHTREE CITY, GA 30269-4420
Phone number: 770-362-5569
Mailing Address
MARK WILLIS DMD
1250 ROCKAWAY RD
SENOIA, GA 30276-1315
Phone number: 770-362-5569