Individual
DR. MARK JOSEPH SQUICQUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
567 E MAIN ST, CANFIELD, OH 44406-1547
(330) 533-1153
(330) 533-6745
Mailing address
567 E MAIN ST, CANFIELD, OH 44406-1547
(330) 533-1153
(330) 533-6745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-016337
OH
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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