Individual
DR. MARK MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1092 ROUTE 9, QUEENSBURY, NY 12804
(518) 798-9561
Mailing address
23 SARATOGA CIR, SARATOGA SPRINGS, NY 12866-1029
(518) 587-4456
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047036
NY
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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