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Individual

MARK BILLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
290 CENTRAL AVENUE, 208, LAWRENCE, NY 11559
(516) 239-1879
Mailing address
290 CENTRAL AVENUE, SUITE 208, LAWRENCE, NY 11559
(516) 239-1879

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038146
NY

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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