Individual
DR. MARK RONALD MORTIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,D.D.S., P.C.
Contact information
Practice address
18883 GLENGARRY DR, LIVONIA, MI 48152-8099
(586) 747-2273
(248) 473-2553
Mailing address
18883 GLENGARRY DR, LIVONIA, MI 48152-8099
(586) 747-2273
(248) 473-2553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014491
MI
Other
Enumeration date
07/24/2006
Last updated
06/07/2021
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