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1912904640
MICHAEL MARK
NEW BRITAIN, CT
NPI
1912904640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CT 006957)
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Business Address
-- MICHAEL MARK DMD
1 WASHINGTON SQ
NEW BRITAIN, CT 06051-1848
Phone number: 860-224-3642
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Mailing Address
-- MICHAEL MARK DMD
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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