# BRIAN J DONLON D D S P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770701286
- **Authorized official:** DR. BRIAN DONLON (DENTIST)
- **Authorized official phone:** (586) 739-0550

## Contact information

- **Practice address:** 44710 VAN DYKE AVE, UTICA, MI 48317-5482
- **Practice address phone:** (586) 739-0550
- **Mailing address:** 44710 VAN DYKE AVE, UTICA, MI 48317-5482
- **Mailing address phone:** (586) 739-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | AD5435309 | MI | Yes |

## Other

- **Enumeration date:** 04/22/2007
- **Last updated:** 06/23/2008