Individual
DR. MICHAEL A. FODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12745 US 12, SOMERSET CENTER, MI 49282
(517) 688-9207
(517) 688-5456
Mailing address
12745 E CHICAGO RD, SOMERSET CENTER, MI 49282
(517) 688-9207
(517) 688-5456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013740
MI
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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