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Organization
MOBILE DENTISTS MANAGEMENT II, LLC
Active
Organization
MOBILE DENTISTS MANAGEMENT II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGO YELLIN WOLL DDS (DENTAL DIRECTOR)
(888) 833-8441
Entity
Organization
Contact information
Practice address
133 W MARKET ST, SUITE 270, INDIANAPOLIS, IN 46204-2801
(888) 833-8441
(888) 330-4331
Mailing address
PO BOX 250310, WEST BLOOMFIELD, MI 48325-0310
(888) 833-8441
(888) 330-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200315370A
—
IN
Enumeration date
08/23/2006
Last updated
06/18/2008
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