Defonte, Mark
Defonte, Mark is an sole proprietor health care provider with primary practice located at 59 Beaverbrook Rd Suite 301, Lincoln Park NJ 07035-1794. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Defonte, Mark can be contacted via phone (973) 686-0060.Contact Information
Primary practice address
59 Beaverbrook Rd Suite 301
Lincoln Park NJ 07035-1794
Phone: (973) 686-0060
Fax: (973) 686-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17918 | New Jersey |
Profile Details
| NPI number | 1861542169 |
|---|---|
| LBN Legal business name | Defonte, Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 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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