Farmbrook Dental Group

NPI 1740214683 - Dentist - 1223G0001X

NPI Details
NPI 1740214683
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK E MARK
Position DENTIST PARTNER OWNER
Phone (248) 352-7722
Fax (248) 352-6088
Practice Location
29877 TELEGRAPH RD
L-12
SOUTHFIELD MI, 48034, US
Phone (248) 352-7722
Fax (248) 352-6088
Business Location
29877 TELEGRAPH RD
L-12
SOUTHFIELD MI, 48034, US
Phone (248) 352-7722
Fax (248) 352-6088
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 8407
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According to our database, Farmbrook Dental Group NPI is 1740214683, taxonomy code is 1223G0001X and license number is 8407, license state is located at Michigan. Farmbrook Dental Group physically located at 29877 Telegraph Rd, Southfield MI, 48034. NPI Number 1033115704 has the healthcare provider type.

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1740214683 NPI number is provided on an as is basis without warranty of any kind. 1740214683 is maintained by the National Plan & Provider Enumeration System. The contents of Farmbrook Dental Group are for informational purposes only.