NPI 1073722195

Mark Dibona, DDS

Practitioner General Practice Dentistry Exeter, NH

Practice location

Address: 19 Hampton Rd Suite 11, Exeter, NH 03833-4816
Phone: (603) 772-4352
Fax: (603) 772-5086
Mailing address: PO Box 292, Waterville Valley, NH 03215-0292

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1475 (NH)

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Registry record

NPI: 1073722195
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.