| NPI | 1407866841 |
|---|---|
| Other Name | ST MARKS DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MARK SALVATORE GENCO Dentist 718-720-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 041072) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-09-10 |