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Individual

DR. MARK JOHN HALBOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS,PC

Contact information

Practice address
36000 5 MILE RD, LIVONIA, MI 48154-1918
(734) 464-3430
(734) 464-6206
Mailing address
36000 5 MILE RD, LIVONIA, MI 48154-1918
(734) 464-3430
(734) 464-6206

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013751
MI

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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