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1508228131
MARK GENCO
STATEN ISLAND, NY
NPI
1508228131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 041072)
Enumeration Date
2016-03-23
Last Update Date
2016-03-23
Business Address
Dr. MARK GENCO DMD
418 SAINT MARKS PL
STATEN ISLAND, NY 10301-2434
Phone number: 718-720-6836
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Mailing Address
Dr. MARK GENCO DMD
418 SAINT MARKS PL
STATEN ISLAND, NY 10301-2434
Phone number: 718-720-6836
Copy
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