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1164513685
MARK LANCE ETHRIDGE
RICHARDSON, TX
NPI
1164513685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 18958)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. MARK LANCE ETHRIDGE D.D.S.
1101 N JUPITER RD SUITE 109
RICHARDSON, TX 75081-3171
Phone number: 972-669-9060
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Mailing Address
Dr. MARK LANCE ETHRIDGE D.D.S.
1101 N JUPITER RD SUITE 109
RICHARDSON, TX 75081-3171
Phone number: 972-669-9060
Copy
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