MARK J LODGE

GRAND BLANC, MI
NPI1790569622
Entity TypeOrganization
Authorized ContactSANDRA SMITH
Office Manager
810-694-8073
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
MARK J LODGE
134 HIGH ST
GRAND BLANC, MI 48439-1335
Phone number: 810-694-8073
Mailing Address
MARK J LODGE
134 HIGH ST
GRAND BLANC, MI 48439-1335
Phone number: 810-694-8073
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