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Individual
MARK A PIGNO
Active
Individual
MARK A PIGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18252
TX
1223P0700X
Prosthodontics
4443
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
18252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130543507
—
TX
05
—
1892955
—
LA
Enumeration date
10/03/2006
Last updated
09/13/2009
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