Mark Mizner, Dmd

NPI #1982892741 in Boston, Massachusetts

Provider Information

NPI Number: 1982892741
Entity Type: Organization
Organization Name: Mark Mizner, Dmd
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2007
Last Updated: Oct 5, 2007

Practice Location

Address: 388 COMMONWEALTH AVE
City: Boston
State: Massachusetts
ZIP Code: 02215-2800
Phone: (617) 266-8770

Authorized Official

Name: MARK MIZNER, DMD
Title: DENTIST/OWNER
Phone: (617) 266-8770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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