DR. Mark Charles Wortman, D.D.S.
NPI #1467546192 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1467546192
- Entity Type
- Individual
- Name
- DR. Mark Charles Wortman, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8136 21 MILE RD.
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48317
- Phone
- (586) 726-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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