Individual
CAROLYN SUZANNE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3226 HIDDEN TIMBER DR STE B, LAKE ORION, MI 48359-1598
(248) 393-1888
(248) 393-1890
Mailing address
3226 HIDDEN TIMBER DR STE B, LAKE ORION, MI 48359-1598
(248) 393-1888
(248) 393-1890
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901018814
MI
Other
Enumeration date
12/04/2006
Last updated
05/13/2013
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