Individual
DR. MARK LAURENCE BAILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
90 PROVIDENCE HWY, WALPOLE MALL, EAST WALPOLE, MA 02032-1524
(508) 668-1151
(508) 668-0640
Mailing address
74 BILLINGS ST, SHARON, MA 02067-2140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17548
MA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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