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Organization

MOBILE DENTISTS MANAGEMENT II, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARGO YELLIN WOLL DDS (DENTAL DIRECTOR)
(888) 833-8441
Entity
Organization

Contact information

Practice address
133 W MARKET ST, SUITE 270, INDIANAPOLIS, IN 46204-2801
(888) 833-8441
(888) 330-4331
Mailing address
PO BOX 250310, WEST BLOOMFIELD, MI 48325-0310
(888) 833-8441
(888) 330-4331

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200315370A
IN
Enumeration date
08/23/2006
Last updated
06/18/2008
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