| Doctor Name: | MR. MARK CHESLIK |
| NPI Number: | 1013018027 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPD |
| License Number: | DN 00000342 |
| Business Practice Address: | 4367 Rucker Ave Everett, WA - 982032213 |
| Business Phone Number: | 4252592800 |
| Business Fax Number: | 4252592800 |
| Mailing Address: | 8405 15th Pl Ne, EVERETT |
| State: | WA |
| Postal Code: | 982051485 |
| Phone Number: | 4253771664 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | DN 00000342 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |