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Individual

DR. MARK F SOSOVICKA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3501 TERRACE ST., SUITE G-32, PITTSBURGH, PA 15261-0001
(412) 648-8604
(412) 648-3600
Mailing address
9242 HIGHMEADOW RD, ALLISON PARK, PA 15101-1912
(412) 366-1712

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS025845L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01395266
PA
Enumeration date
03/23/2006
Last updated
07/09/2007
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