Individual
MARCOS MASSAO IOSHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 SCIO CHURCH RD, ANN ARBOR, MI 48103-6119
(734) 668-9988
Mailing address
2264 FORTUNA WAY, ANN ARBOR, MI 48108-2853
(734) 604-6191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2952000768
MI
1223G0001X
General Practice Dentistry
Primary
2901602352
MI
Other
Enumeration date
09/08/2021
Last updated
08/27/2024
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