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Organization

FARMBROOK DENTAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK EDWARD WOLOWIEC D.D.S. (PRESIDENT/OWNER/DENTIST)
(248) 855-0824
Entity
Organization

Contact information

Practice address
6400 TELEGRAPH ROAD SUITE 1500, BLOOMFIELD HILLS, MI 48301
(248) 855-0824
(248) 855-0873
Mailing address
6400 TELEGRAPH ROAD SUITE 1500, BLOOMFIELD HILLS, MI 48301
(248) 855-0824
(248) 855-0873

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
014173
MI
1223G0001X
General Practice Dentistry
Primary
16156
MI
1223G0001X
General Practice Dentistry
8407
MI
1223G0001X
General Practice Dentistry
8413
MI

Other

Enumeration date
07/10/2006
Last updated
03/23/2018
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