Individual
DR. MARK WARD BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
26 COLUMBIA AVE, DEPEW, NY 14043-2309
(716) 685-4020
(716) 685-4021
Mailing address
26 COLUMBIA AVE, DEPEW, NY 14043-2309
(716) 685-4020
(716) 685-4021
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
029474
NY
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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