# MOBILE DENTISTS MANAGEMENT II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689781270
- **Authorized official:** DR. MARGO YELLIN WOLL DDS (DENTAL DIRECTOR)
- **Authorized official phone:** (888) 833-8441

## Contact information

- **Practice address:** 133 W MARKET ST, SUITE 270, INDIANAPOLIS, IN 46204-2801
- **Practice address phone:** (888) 833-8441
- **Practice address fax:** (888) 330-4331
- **Mailing address:** PO BOX 250310, WEST BLOOMFIELD, MI 48325-0310
- **Mailing address phone:** (888) 833-8441
- **Mailing address fax:** (888) 330-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200315370A | — | IN |