Individual
DR. MARK G SCHULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
602 W WATER ST, ELMIRA, NY 14905-2410
(607) 733-0830
(607) 733-0830
Mailing address
602 W WATER ST, ELMIRA, NY 14905-2410
(607) 733-0830
(607) 733-0830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00892842
—
NY
Enumeration date
10/19/2005
Last updated
07/08/2007
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