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1467560136
MARK E DANIELS
MEDFORD, NY
NPI
1467560136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 041644-1)
Enumeration Date
2006-08-25
Last Update Date
2007-07-09
Business Address
Dr. MARK E DANIELS DMD
BLDG 6 3237 ROUTE 112 SUITE 7B
MEDFORD, NY 11763-1424
Phone number: 631-698-1140
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Mailing Address
Dr. MARK E DANIELS DMD
BLDG 6 3237 ROUTE 112 SUITE 7B
MEDFORD, NY 11763-1424
Phone number: 631-698-1140
Copy
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