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Individual

MARK BAO HOANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8001 ROOSEVELT BLVD, SUITE # 503, PHILADELPHIA, PA 19152-3038
(215) 268-9655
(215) 646-6166
Mailing address
8001 ROOSEVELT BLVD, SUITE # 503, PHILADELPHIA, PA 19152-3038
(215) 268-9655
(215) 646-6166

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 037251
PA

Other

Enumeration date
08/27/2007
Last updated
02/20/2013
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