Individual
DR. MARK DAVID MADORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR OF DENTAL SURGERY
Contact information
Practice address
50 W BIG BEAVER RD, SUITE 290, BLOOMFIELD HILLS, MI 48304-3910
(248) 642-8130
(248) 642-9314
Mailing address
50 W BIG BEAVER RD, SUITE 290, BLOOMFIELD HILLS, MI 48304-3910
(248) 642-8130
(248) 642-9314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010700
MI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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