Individual
MARK DIBONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 HAMPTON RD, SUITE 11, EXETER, NH 03833-4816
(603) 772-4352
(603) 772-5086
Mailing address
PO BOX 292, WATERVILLE VALLEY, NH 03215-0292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1475
NH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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