Individual
DR. MICHAEL COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 BARTLETT ST STE 405, LOWELL, MA 01852-1318
(978) 458-1264
Mailing address
1218 WALNUT ST APT 502, PHILADELPHIA, PA 19107-5441
(617) 755-7203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039158
PA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS039158
PA
Other
Enumeration date
07/26/2012
Last updated
03/17/2018
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