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1811074354
MARK P BENNER
WINDER, GA
NPI
1811074354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 010081)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. MARK P BENNER D.D.S
212 E BROAD ST
WINDER, GA 30680-2202
Phone number: 770-867-3275
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Mailing Address
Dr. MARK P BENNER D.D.S
212 E BROAD ST
WINDER, GA 30680-2202
Phone number: 770-867-3275
Copy
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