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MARK HOLIFIELD D.M.D.

>> Dentist >> Dental Providers

Registrant NPI Number: 1427108422

Individual Registrant:
 MARK  HOLIFIELD D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
382 TENNESSEE AVE N  PARSONS, TN 38363-2024 US
Tel: 731-847-6625  Fax: 731-847-4628

Contact information for business:
382 TENNESSEE AVE N  PARSONS, TN 38363-2024 US
Tel: 731-847-6625  Fax: 731-847-4628

Registration Information:
NPI: 1427108422
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
TNDS5231

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TAX ID202794876TN01




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