Individual
DR. MARK KNOLL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 MERRICK RD, BELLMORE, NY 11710-5716
(516) 783-1121
Mailing address
2835 FRANKEL BLVD, MERRICK, NY 11566-5431
(516) 783-1121
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039496
NY
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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