Defonte, Mark

Defonte, Mark is an sole proprietor health care provider with primary practice located at 59 Beaverbrook Rd Suite 301, Lincoln Park NJ 07035-1794. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Defonte, Mark can be contacted via phone (973) 686-0060.

Contact Information

Primary practice address
59 Beaverbrook Rd Suite 301 Lincoln Park NJ 07035-1794
Phone: (973) 686-0060
Fax: (973) 686-0770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17918 New Jersey

Profile Details

NPI number 1861542169
LBN Legal business name Defonte, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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