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Organization
PAUL W. CLANCY, D.D.S., P.C.
Active
Organization
PAUL W. CLANCY, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL W. CLANCY D.D.S. (OWNER)
(248) 349-3660
Entity
Organization
Contact information
Practice address
41620 6 MILE RD, SUITE 101, NORTHVILLE, MI 48168-8528
(248) 349-3660
(248) 349-4698
Mailing address
41620 6 MILE RD, SUITE 101, NORTHVILLE, MI 48168-8528
(248) 349-3660
(248) 349-4698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011377
MI
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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