MARK EDWARD PREVITT

DERBY, CT
NPI1285854273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CT  6976)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Dr. MARK EDWARD PREVITT dmd
676 NEW HAVEN AVE
DERBY, CT 06418
Phone number: 203-734-1411
Mailing Address
Dr. MARK EDWARD PREVITT dmd
30 LINCOLN ST
NEW HAVEN, CT 06511
Phone number: 203-503-0481