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1326135880
MARK WINSTON BRAITHWAITE
WEST HAVEN, CT
NPI
1326135880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: IL 19024487)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Dr. MARK WINSTON BRAITHWAITE D.D.S., M.A.
950 CAMPBELL AVE VA CONNECTICUT HEALTHCARE SYSTEM, DENTAL SERVICE 160
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
Dr. MARK WINSTON BRAITHWAITE D.D.S., M.A.
159 MIDWOOD ST
BROOKLYN, NY 11225-5060
Phone number: 718-287-6756
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