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Organization
LINCOLN PARK FAMILY DENTISTRY DDS PC
Active
Organization
LINCOLN PARK FAMILY DENTISTRY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART S MARKOFSKY DDS (PRESIDENT)
(313) 381-0343
Entity
Organization
Contact information
Practice address
3326 FORT ST, LINCOLN PARK, MI 48146
(313) 381-0343
(313) 386-0331
Mailing address
3326 FORT STREET, LINCOLN PARK, MI 48146
(313) 381-0343
(313) 386-0331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12122
MI
122300000X
Dentist
Primary
12305
MI
122300000X
Dentist
12551
MI
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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