Individual
MARK FOLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 854-3248
Mailing address
650 LINCOLN ST, WORCESTER, MA 01605-2060
(508) 532-7318
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856657
MA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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