Bleak, Mark Bentley
Bleak, Mark Bentley is an individual health care provider with primary practice located at 1001 W Broadway Ste D , Farmington NM 87401-5638. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bleak, Mark Bentley can be contacted via phone (505) 325-9133.Contact Information
Primary practice address
1001 W Broadway Ste D
Farmington NM 87401-5638
Phone: (505) 325-9133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD2905 | New Mexico |
Profile Details
| NPI number | 1407046360 |
|---|---|
| LBN Legal business name | Bleak, Mark Bentley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jul 26th, 2007 - about 18 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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