Individual
DR. MARK A D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
600 HIGH BLVD, SUITE E, READING, PA 19607-2155
(610) 796-2120
(610) 796-2160
Mailing address
13 MORGAN SPRING DR, MORGANTOWN, PA 19543-8906
(610) 913-6893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031437L
PA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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