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Organization
MARK A. MINTZER, D.M.D., P.C.
Active
Organization
MARK A. MINTZER, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY B MINTZER (ADMINISTRATOR)
(212) 744-1409
Entity
Organization
Contact information
Practice address
888 PARK AVE, NEW YORK, NY 10021-0235
(212) 744-1409
(212) 879-6873
Mailing address
888 PARK AVE, NEW YORK, NY 10021-0235
(212) 744-1409
(212) 879-6873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28718
NY
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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