Organization
CAVANAUGH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J. DERKSEN DDS (MEMBER)
(517) 371-5342
Entity
Organization
Contact information
Practice address
900 E CAVANAUGH RD, LANSING, MI 48910-5624
(517) 371-5374
Mailing address
2410 LAKE LANSING RD STE 2, LANSING, MI 48912-3659
(517) 371-5342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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