Mark J Lodge | |
134 High St Grand Blanc MI 48439-1335 | |
(810) 694-8073 | |
(810) 694-1764 |
Full Name | Mark J Lodge |
---|---|
Speciality | Dentist - General Practice |
Location | 134 High St, Grand Blanc, Michigan |
Authorized Official Name and Position | Sandra Smith (OFFICE MANAGER) |
Authorized Official Contact | 8106948073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark J Lodge 134 High St Grand Blanc MI 48439-1335 Ph: (810) 694-8073 | Mark J Lodge 134 High St Grand Blanc MI 48439-1335 Ph: (810) 694-8073 |
NPI Number | 1790569622 |
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Provider Enumeration Date | 08/22/2023 |
Last Update Date | 08/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790569622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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