Individual provider · Type 1 NPI

Mark Phillip Gerald, DDS

General Practice Dentistry · Petersburg, VA

NPI number 1265728612 Active

About NPI 1265728612

Mark Phillip Gerald, DDS's National Provider Identifier is 1265728612, issued on Jun 23, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Petersburg, VA. The record was last updated on Jun 23, 2011.