Individual
DR. JOHN MATTHEW OTRHALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20630 VERNIER RD, HARPER WOODS, MI 48225-1488
(313) 884-0040
(313) 884-0777
Mailing address
60 COLONIAL RD, GROSSE POINTE SHORES, MI 48236-1775
(313) 886-1739
(313) 884-0777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011923
MI
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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