Individual
DR. MARK A OBERFERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7085 E GENESEE ST, FAYETTEVILLE, NY 13066-1146
(315) 632-4600
(315) 492-6051
Mailing address
7085 E GENESEE ST, FAYETTEVILLE, NY 13066-1146
(315) 632-4600
(315) 492-6051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040695
NY
Other
Enumeration date
04/19/2007
Last updated
05/04/2009
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