Individual
MARK GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1777 KLOCKNER RD, MERCERVILLE, NJ 08619-2725
(609) 586-2865
Mailing address
1777 KLOCKNER RD, MERCERVILLE, NJ 08619-2725
(609) 586-2865
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14962
NJ
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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