Organization
MARK A. EBY D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY EBY D.D.S. (PRESIDENT)
(734) 243-5200
Entity
Organization
Contact information
Practice address
15555 S TELEGRAPH RD, SUITE 7, MONROE, MI 48161-4000
(734) 243-5200
(734) 241-6127
Mailing address
15555 S TELEGRAPH RD, SUITE 7, MONROE, MI 48161-4000
(734) 243-5200
(734) 241-6127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018199
MI
Other
Enumeration date
05/21/2007
Last updated
06/25/2008
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