DR. Mark Laurence Bailen, D.M.D.

NPI #1710104773 in East Walpole, Massachusetts

Provider Information

NPI Number: 1710104773
Entity Type: Individual
Name: DR. Mark Laurence Bailen, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 90 PROVIDENCE HWY
Address 2: WALPOLE MALL
City: East Walpole
State: Massachusetts
ZIP Code: 02032-1524
Phone: (508) 668-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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