Individual
DR. RONALD JAMES CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15647 NORDSTROM ST, LANSE, MI 49946-8439
(906) 524-6420
Mailing address
15647 NORDSTROM ST, P.O. BOX 9, LANSE, MI 49946-8439
(906) 524-6420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020319
MI
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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