DR. Marc Tisch, D.D.S.

NPI #1205031127 in Somers, New York

Provider Information

NPI Number
1205031127
Entity Type
Individual
Name
DR. Marc Tisch, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 20, 2007
Last Updated
Nov 13, 2012

Practice Location

Address
293 ROUTE 100
Address 2
SUITE 202
City
Somers
ZIP Code
10589-3213
Phone
(914) 417-5073

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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