Mark R Pasternak, DMD Valid NPI
Individual provider · Dentist · Englewood, CO
- NPI
- 1164563516
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 6182 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-09
- Last updated
- 2007-07-08
Practice location
125 Inverness Dr E, #230
Englewood, CO 80112-5138
(303) 792-9904