Individual
DR. MICHAEL SCOTT RUNNELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, PA
Contact information
Practice address
4399 COMMONS DR E, SUITE 100A, DESTIN, FL 32541-8413
(850) 269-0333
Mailing address
4399 COMMONS DR E, SUITE 100A, DESTIN, FL 32541-8413
(850) 269-0333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14657
FL
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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