Martin, Mark

Martin, Mark is an individual health care provider with primary practice located at Building 944 , Brandon SUFFOLK IP279PN. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Martin, Mark can be contacted via phone (314) 226-8317.

Contact Information

Primary practice address
Building 944 Brandon SUFFOLK IP279PN
Phone: (314) 226-8317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1194407114
LBN Legal business name Martin, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2023
Last updated Aug 1st, 2023 - about 2 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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