Organization
JACK SHADER & MARK DENNIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN DENNIS DDS (OWNER)
(248) 328-8888
Entity
Organization
Contact information
Practice address
16104 DIXIE HWY, DAVISBURG, MI 48350-1004
(248) 328-8888
(248) 634-0440
Mailing address
16104 DIXIE HWY, DAVISBURG, MI 48350-1004
(248) 328-8888
(248) 634-0440
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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