Individual
MARK HASELKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
41 MAIN STREET, FLORENCE, MA 01062
(413) 586-0320
(413) 584-6573
Mailing address
41 MAIN STREET, FLORENCE, MA 01062
(413) 586-0320
(413) 584-6573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11827
MA
1223G0001X
General Practice Dentistry
11827
MA
Other
Enumeration date
01/19/2007
Last updated
01/05/2018
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