Individual
DR. ANTHONIO COLLINS MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5221 WAYNETOWNE CT, DAYTON, OH 45424-2124
(937) 237-0360
Mailing address
6647 CORNELL ST, TAYLOR, MI 48180-1726
(313) 485-7369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014232A
IN
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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