Individual
DR. MARK RICHARD WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7924 SECOR ROAD BOX 297, LAMBERTVILLE, MI 48144-0297
(734) 856-3004
(734) 215-2323
Mailing address
PO BOX 297, 7924 SECOR ROAD, LAMBERTVILLE, MI 48144-0297
(734) 856-3004
(734) 215-2323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015738
MI
122300000X
Dentist
30-01-8652
OH
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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