Individual
DR. MARK SHAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6600 HIGHLAND RD, SUITE 23, WATERFORD, MI 48327-1673
(248) 666-1811
(248) 666-9142
Mailing address
6600 HIGHLAND RD, SUITE 23, WATERFORD, MI 48327-1673
(248) 666-1811
(248) 666-9142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11860
MI
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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