Individual
ALLISON MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2111
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02701100
NJ
1223G0001X
General Practice Dentistry
103143
CA
390200000X
Student in an Organized Health Care Education/Training Program
061002
NY
Other
Enumeration date
06/07/2017
Last updated
12/26/2025
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