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1437379997
MARK P WELLER
BRONX, NY
NPI
1437379997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 029097)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Dr. MARK P WELLER
949 E TREMONT AVE
BRONX, NY 10460-4305
Phone number: 718-589-8604
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Mailing Address
Dr. MARK P WELLER
949 E TREMONT AVE
BRONX, NY 10460-4305
Phone number: 718-589-8604
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