MARK P BENNER

WINDER, GA
NPI1811074354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  010081)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Dr. MARK P BENNER D.D.S
212 E BROAD ST
WINDER, GA 30680-2202
Phone number: 770-867-3275
Mailing Address
Dr. MARK P BENNER D.D.S
212 E BROAD ST
WINDER, GA 30680-2202
Phone number: 770-867-3275