MARK COLLINSWORTH

PENN YAN, NY
NPI1740772110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NY  017629)
Enumeration Date2018-06-01
Last Update Date2018-06-01
Business Address
MARK COLLINSWORTH RDH
160 MAIN ST
PENN YAN, NY 14527-1204
Phone number: 315-531-9102
Mailing Address
MARK COLLINSWORTH RDH
601B W WASHINGTON ST
GENEVA, NY 14456-2119
Phone number: 315-787-8151