DR. Mark Vincent Dimartino, DDS

NPI #1134138159 in Farmington, New York

Provider Information

NPI Number: 1134138159
Entity Type: Individual
Name: DR. Mark Vincent Dimartino, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 7, 2006
Last Updated: Sep 16, 2020

Practice Location

Address: 1375 HATHAWAY DR
City: Farmington
State: New York
ZIP Code: 14425-8804
Phone: (585) 924-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Durable Medical Equipment & Medical Supplies	332B00000X

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