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Organization
ROYAL OAK FAMILY DENTISTRY
Active
Organization
ROYAL OAK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL G COSTELLO (MANAGER)
(248) 543-7070
Entity
Organization
Contact information
Practice address
1200 S WASHINGTON AVE, ROYAL OAK, MI 48067-3222
(248) 543-7070
(248) 543-3520
Mailing address
1200 S WASHINGTON AVE, ROYAL OAK, MI 48067-3222
(248) 543-7070
(248) 543-3520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014041
MI
Other
Enumeration date
01/13/2006
Last updated
08/22/2020
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