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Individual
DR. MARK S ANDRAWIS
Active
Individual
DR. MARK S ANDRAWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
040145409
VA
122300000X
Dentist
058823-1
NY
122300000X
Dentist
Primary
22DI02556300
NJ
122300000X
Dentist
DEN.00203003
CO
Other
Enumeration date
01/08/2016
Last updated
11/08/2016
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