Individual
DR. HOWARD IRWIN MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2583
(860) 679-1099
Mailing address
101 W RIDGE DR, WEST HARTFORD, CT 06117-2039
(860) 232-9486
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D2881
CT
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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