Individual
DR. MARK EDWARD FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
256 3RD ST, BELLEVILLE, MI 48111-2606
(734) 697-9200
(734) 697-9293
Mailing address
256 3RD ST, BELLEVILLE, MI 48111-2606
(734) 697-9200
(734) 697-9293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012789
MI
Other
Enumeration date
01/18/2006
Last updated
09/09/2015
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