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Organization
ST MARKS DENTAL PC
Active
Organization
ST MARKS DENTAL PC
Active
Other names
St Marks Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SALVATORE GENCO DMD (DENTIST)
(718) 720-6836
Entity
Organization
Contact information
Practice address
418 ST MARK'S PLACE, ST MARK'S DENTAL, STATEN ISLAND, NY 10301
(718) 720-6836
(718) 720-6996
Mailing address
418 ST MARK'S PLACE, ST MARK'S DENTAL, STATEN ISLAND, NY 10301
(718) 720-6836
(718) 720-6996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01103644
—
NY
Enumeration date
08/08/2006
Last updated
09/10/2008
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