Desrosiers, Mark
Desrosiers, Mark is an individual health care provider with primary practice located at 836 Farmington Ave Suite 115, West Hartford CT 06119-1505. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Desrosiers, Mark can be contacted via phone (860) 232-0033.Contact Information
Primary practice address
836 Farmington Ave Suite 115
West Hartford CT 06119-1505
Phone: (860) 232-0033
Fax: (860) 232-1132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 7293 | Connecticut |
Profile Details
| NPI number | 1639191885 |
|---|---|
| LBN Legal business name | Desrosiers, Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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