Individual
DR. MICHAEL J MARDEROSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29877 TELEGRAPH RD STE L-12, SOUTHFIELD, MI 48034-7657
(248) 352-7722
Mailing address
6400 TELEGRAPH RD SUITE 1500, BLOOMFIELD HILLS, MI 48301
(248) 855-0824
(248) 855-0873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16156
MI
Other
Enumeration date
05/15/2007
Last updated
04/04/2018
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