Ethridge, Mark Lance
Ethridge, Mark Lance is an sole proprietor health care provider with primary practice located at 1101 N Jupiter Rd Suite 109, Richardson TX 75081-3171. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ethridge, Mark Lance can be contacted via phone (972) 669-9060.Contact Information
Primary practice address
1101 N Jupiter Rd Suite 109
Richardson TX 75081-3171
Phone: (972) 669-9060
Fax: (972) 669-4108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 18958 | Texas |
Profile Details
| NPI number | 1164513685 |
|---|---|
| LBN Legal business name | Ethridge, Mark Lance |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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