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1104921485
MARK WARD BAIN
DEPEW, NY
NPI
1104921485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY 029474)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Dr. MARK WARD BAIN D.D.S.
26 COLUMBIA AVE
DEPEW, NY 14043-2309
Phone number: 716-685-4020
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Mailing Address
Dr. MARK WARD BAIN D.D.S.
26 COLUMBIA AVE
DEPEW, NY 14043-2309
Phone number: 716-685-4020
Copy
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