Individual
DR. MARK S. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6 NORTH ST, 1, BARRE, VT 05641-3810
(802) 476-4812
(802) 475-0525
Mailing address
6 NORTH ST, BARRE, VT 05641-3810
(802) 476-4812
(802) 476-0525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
792
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002191
—
VT
Enumeration date
06/06/2006
Last updated
07/08/2007
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