MARK PETHICK

NEW HAVEN, CT
NPI1205850377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  8311)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
Dr. MARK PETHICK dmd
532 CHAPEL ST
NEW HAVEN, CT 06511-6905
Phone number: 203-865-4286
Mailing Address
Dr. MARK PETHICK dmd
11 LAYDON AVE
NORTH HAVEN, CT 06473-2705
Phone number: 203-234-7996