Individual
MR. DAVID LEE DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2550 N MAIN ST, CENTRAL LAKE, MI 49622
(231) 544-8115
Mailing address
18048 HILLTOP DR, CHARLEVOIX, MI 49720-9783
(231) 547-5646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
290-1013248
MI
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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