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Individual

DR. MARK S ANDRAWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
5 BECKER FARM RD, SUITE 101, ROSELAND, NJ 07068-1741
(973) 974-9490
(973) 974-9491
Mailing address
5 BECKER FARM RD, SUITE 101, ROSELAND, NJ 07068-1741
(973) 974-9490
(973) 974-9491

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
040145409
VA
122300000X
Dentist
058823-1
NY
122300000X
Dentist
Primary
22DI02556300
NJ
122300000X
Dentist
DEN.00203003
CO

Other

Enumeration date
01/08/2016
Last updated
11/08/2016
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