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General NPI Number Information
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NPI Number | 1982808085
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Entity Type | Organization
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Legal Business Name | MARK MOLINSKY DDS
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6766 108TH ST SUITE B3
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City | FOREST HILLS
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State | NY
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Zip | 11375-2974
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Country | US
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Telephone | 718-263-7733
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Fax | 718-263-7112
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Provider Business Mailing Address
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Address Line | 6766 108TH ST SUITE B3
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City | FOREST HILLS
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State | NY
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Zip | 11375-2974
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Country | US
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Telephone | 718-263-7733
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Fax | 718-263-7112
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK ALAN MOLINSKY
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Credential | DDS
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Telephone | 781-263-7733
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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 | 38193
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License Number State | NY
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