Organization
MARK A WOLFSON DDS PC
Active
Other names
Wolfson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLAN WOLFSON DDS (OWNER)
(248) 352-2266
Entity
Organization
Contact information
Practice address
26601 COOLIDGE HWY, OAK PARK, MI 48237-1135
(248) 352-2266
(248) 352-2267
Mailing address
26601 COOLIDGE HWY, OAK PARK, MI 48237-1135
(248) 352-2266
(248) 352-2267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123497102
—
MI
Enumeration date
08/16/2006
Last updated
01/04/2017
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