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1205850377
MARK PETHICK
NEW HAVEN, CT
NPI
1205850377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 8311)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. MARK PETHICK dmd
532 CHAPEL ST
NEW HAVEN, CT 06511-6905
Phone number: 203-865-4286
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Mailing Address
Dr. MARK PETHICK dmd
11 LAYDON AVE
NORTH HAVEN, CT 06473-2705
Phone number: 203-234-7996
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