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Search › Michigan › General Practice Dentistry

Mark Lodge, DDS

NPI 1609906791 · on the registry since 2007 · sole proprietor

Practice

Address
134 High St
Grand Blanc, MI 48439
Phone
(810) 694-8073
Fax
(810) 694-1764
Organisation at this address
Mark J Lodge
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan