Organization
FAMILY DENTAL SERVICES PC
Active
Other names
St. Johns Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOHN CONNELLY DDS (DENTIST)
(989) 224-2379
Entity
Organization
Contact information
Practice address
911 E STATE ST, SUITE C, SAINT JOHNS, MI 48879-1684
(989) 224-2379
Mailing address
911 E STATE ST, SUITE C, SAINT JOHNS, MI 48879-1684
(989) 224-2379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13432
MI
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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