Organization
L'ANSE FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JAMES CARMODY D.D.S. (OWNER/DENTIST)
(906) 524-6420
Entity
Organization
Contact information
Practice address
12 S FOURTH ST, L'ANSE, MI 49946
(906) 524-6420
(906) 524-6821
Mailing address
P.O. BOX 9, L'ANSE, MI 49946
(906) 524-6420
(906) 524-6821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901013208
MI
1223G0001X
General Practice Dentistry
Primary
2901020319
MI
Other
Enumeration date
03/03/2014
Last updated
06/02/2016
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