Organization
JOHN C. O'DONALD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C. O'DONALD DDS (OWNER)
(616) 754-7414
Entity
Organization
Contact information
Practice address
1330 W WASHINGTON ST, GREENVILLE, MI 48838-2190
(616) 754-7414
(616) 754-7888
Mailing address
1330 W WASHINGTON ST, GREENVILLE, MI 48838-2190
(616) 754-7414
(616) 754-7888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013186
MI
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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