MARK LODGE, DDS

Dentist - General Practice

Active Individual
NPI: 1609906791

Practice Address

134 HIGH ST
Grand Blanc, MI 48439

Phone: (810) 694-8073

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 2901015757 (MI)

Frequently Asked Questions

NPI 1609906791 is the National Provider Identifier for MARK LODGE, DDS, a Dentist - General Practice provider located in Grand Blanc, MI. This NPI was enumerated on March 7, 2007.
MARK LODGE, DDS practices at 134 HIGH ST, Grand Blanc, MI 48439.

Quick Facts

NPI
1609906791
Type
Individual
Enumerated
Mar 7, 2007
Last Updated
Jul 8, 2007

Nearby Providers