Individual
MR. MARK N VANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
415 E 4TH AVE, TARENTUM, PA 15084-1847
(724) 226-2808
(724) 226-1619
Mailing address
415 E 4TH AVE, TARENTUM, PA 15084-1847
(724) 226-2808
(724) 226-1619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026730L
PA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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