Individual
DR. GEORGE ERWIN MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
35 PARK ST, STOUGHTON, MA 02072-2913
(781) 344-9512
(617) 848-3765
Mailing address
49 WINCHESTER ST # 2, BROOKLINE, MA 02446-2748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17378
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829
DELTA DENTAL
MA
Enumeration date
04/12/2007
Last updated
07/08/2007
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