Individual
MARK C FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Contact information
Practice address
34 DALE RD, SUITE 105, AVON, CT 06001-3659
(860) 674-8079
(860) 676-8242
Mailing address
34 DALE RD, SUITE 105, AVON, CT 06001-3659
(860) 674-8079
(860) 676-8242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8732
CT
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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