Mark William Sisko, DDS Valid NPI

Individual provider · General Practice Dentistry · Sea Isle City, NJ

NPI

1134112493

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

22D101282800 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-23

Last updated

2007-07-08