Individual
MARK D ZAJKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
20 LONG CREEK DR, SUITE B, SOUTH PORTLAND, ME 04106-2425
(207) 772-4063
(207) 772-8641
Mailing address
20 LONG CREEK DR, SUITE B, SOUTH PORTLAND, ME 04106-2425
(207) 772-4063
(207) 772-8641
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3563
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316710099
—
ME
Enumeration date
10/24/2005
Last updated
04/09/2024
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