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NPI 1871981126

NPI 1871981126 : MARK M. MESZAROS, D.D.S.,P.C. : LEOMINSTER, MA

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General NPI Number Information
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    NPI Number           |    1871981126
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARK M. MESZAROS, D.D.S.,P.C. 
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Dates
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    Enumeration Date     |    01/08/2015
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    Last Update Date     |    01/08/2015
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Provider Practice Location Address
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    Address Line         |    1343 CENTRAL ST 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-5907
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    Country              |    US
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    Telephone            |    978-537-8170
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    Fax                  |    978-840-1447
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Provider Business Mailing Address
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    Address Line         |    1343 CENTRAL ST 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-5907
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    Country              |    US
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    Telephone            |    978-537-8170
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    Fax                  |    978-840-1447
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MARK MICHAEL MESZAROS 
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    Credential           |    DDS
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    Telephone            |    978-537-8170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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