Individual
JANET MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 SOMME ST, NEWARK, NJ 07105-3612
(973) 578-8788
Mailing address
2333 82ND ST FL 3, BROOKLYN, NY 11214-2711
(917) 626-9253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02753300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
03/05/2020
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