Individual
DR. DAVID JOSEPH CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9500 RED ARROW HWY, BRIDGMAN, MI 49106-9593
(269) 465-3001
Mailing address
PO BOX 748, BRIDGMAN, MI 49106-0748
(269) 465-3001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020835
MI
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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