| Mark Mizner, Dmd | |
|
388 Commonwealth Ave Boston MA 02215-2800 | |
| (617) 266-8770 | |
| Not Available |
| Full Name | Mark Mizner, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 388 Commonwealth Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Mark Mizner (DENTIST/OWNER) |
| Authorized Official Contact | 6172668770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Mizner, Dmd 388 Commonwealth Ave Boston MA 02215-2800 Ph: (617) 266-8770 | Mark Mizner, Dmd 388 Commonwealth Ave Boston MA 02215-2800 Ph: (617) 266-8770 |
| NPI Number | 1982892741 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982892741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14475 (Massachusetts) | Primary |
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