Individual
DR. MARK M. DAWOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
75 DOLSON AVE, MIDDLETOWN, NY 10940-6501
(845) 325-8635
Mailing address
20 OMNI PARC DR, NANUET, NY 10954-5904
(845) 325-8635
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058404-1
NY
1223P0221X
Pediatric Dentistry
DN1855943
MA
Other
Enumeration date
05/23/2012
Last updated
07/21/2022
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