Search › Georgia › 1223X0400X
Mark Justice, D.M.D
NPI 1669492617 · on the registry since 2006
Practice
- Address
- 1771 Lee Rd
Suite A
Lithia Springs, GA 30122 - Phone
- (770) 739-1111
- Fax
- (770) 739-6465
- Organisation at this address
- Atlanta West Orthodontic Care, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia