| Mark S Macdonald Inc | |
|
22944 W Outer Dr Dearborn MI 48124 | |
| (313) 563-2522 | |
| (313) 563-2522 |
| Full Name | Mark S Macdonald Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22944 W Outer Dr, Dearborn, Michigan |
| Authorized Official Name and Position | Mark Steven Macdonald (PRESIDENT OWNER) |
| Authorized Official Contact | 3135632522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Macdonald Inc 22944 W Outer Dr Dearborn MI 48124 Ph: (313) 563-2522 | Mark S Macdonald Inc 22944 W Outer Dr Dearborn MI 48124 Ph: (313) 563-2522 |
| NPI Number | 1114906781 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114906781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901014432 (Michigan) | Primary |
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