Organization
MARK MIZNER, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MIZNER DMD (DENTIST/OWNER)
(617) 266-8770
Entity
Organization
Contact information
Practice address
388 COMMONWEALTH AVE, BOSTON, MA 02215-2800
(617) 266-8770
Mailing address
388 COMMONWEALTH AVE, BOSTON, MA 02215-2800
(617) 266-8770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14475
MA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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