Moreau, Mark

Moreau, Mark is an individual health care provider with primary practice located at 200 Church Street , Saratoga Springs NY 12866. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moreau, Mark can be contacted via phone (518) 584-6768.

Contact Information

Primary practice address
200 Church Street Saratoga Springs NY 12866
Phone: (518) 584-6768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 031589 New York

Profile Details

NPI number 1417174582
LBN Legal business name Moreau, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Mar 15th, 2011 - about 15 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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