Individual
DR. MARK ALAN MIZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
388 COMMONWEALTH AVE, BOSTON, MA 02215-2800
(616) 266-8770
(617) 266-9530
Mailing address
388 COMMONWEALTH AVE, BOSTON, MA 02215-2800
(616) 266-8770
(617) 266-9530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14475
MA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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