Individual
MARK ALEX OBREGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
35900 FIVE MILE RD, LIVONIA, MI 48154
(734) 464-7770
(734) 464-7838
Mailing address
35900 FIVE MILE RD, LIVONIA, MI 48154
(734) 464-7770
(734) 464-7838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016400
MI
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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