Organization
PAUL W. CLANCY, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL W. CLANCY D.D.S. (OWNER)
(248) 349-3660
Entity
Organization
Contact information
Practice address
41620 6 MILE RD, SUITE 101, NORTHVILLE, MI 48168-8528
(248) 349-3660
(248) 349-4698
Mailing address
41620 6 MILE RD, SUITE 101, NORTHVILLE, MI 48168-8528
(248) 349-3660
(248) 349-4698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011377
MI
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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