DR. MARK CONNOLLY, DMD
Dentist - General Practice
Active
Individual
NPI: 1053396259
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 13550 (MA) |
Frequently Asked Questions
NPI 1053396259 is the National Provider Identifier for DR. MARK CONNOLLY, DMD, a Dentist - General Practice provider located in Medford, MA. This NPI was enumerated on December 9, 2005.
DR. MARK CONNOLLY, DMD practices at 411 HIGH ST, Medford, MA 02155.
Quick Facts
- NPI
- 1053396259
- Type
- Individual
- Enumerated
- Dec 9, 2005
- Last Updated
- Jul 8, 2007
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