Mark Collinsworth, RDH

NPI #1740772110 in Penn Yan, New York

Provider Information

NPI Number: 1740772110
Entity Type: Individual
Name: Mark Collinsworth, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 1, 2018
Last Updated: Jun 1, 2018

Practice Location

Address: 160 MAIN ST
City: Penn Yan
State: New York
ZIP Code: 14527-1204
Phone: (315) 531-9102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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