Bailen, Mark Laurence
Bailen, Mark Laurence is an individual health care provider with primary practice located at 90 Providence Hwy Walpole Mall, East Walpole MA 02032-1524. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bailen, Mark Laurence can be contacted via phone (508) 668-1151.Contact Information
Primary practice address
90 Providence Hwy Walpole Mall
East Walpole MA 02032-1524
Phone: (508) 668-1151
Fax: (508) 668-0640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17548 | Massachusetts |
Profile Details
| NPI number | 1710104773 |
|---|---|
| LBN Legal business name | Bailen, Mark Laurence |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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