Mark William Sisko DDS

NPI 1134112493 - Dentist - 1223G0001X

NPI Details
NPI 1134112493
Gender Male
Enumeration Date 08/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4311 LANDIS AVE
SEA ISLE CITY NJ, 08243-1838, US
Phone (609) 263-4201
Fax (609) 263-0433
Business Location
4311 LANDIS AVE
P.O. BOX NO. 643
SEA ISLE CITY NJ, 08243-1838, US
Phone (609) 263-4201
Fax (609) 263-0433
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 22D101282800
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According to our database, Dr. Mark William Sisko DDS NPI is 1134112493, taxonomy code is 1223G0001X and license number is 22D101282800, license state is located at New Jersey. Mark William Sisko DDS physically located at 4311 Landis Ave, Sea Isle City NJ, 08243-1838. NPI Number Mark William Sisko DDS has the Individual type.

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1134112493 NPI number is provided on an as is basis without warranty of any kind. 1134112493 is maintained by the National Plan & Provider Enumeration System. The contents of Mark William Sisko DDS are for informational purposes only.