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Organization

DAVIS AND DAVIS ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA A MCCANN (FINANCIAL COORDINATOR)
(989) 631-1334
Entity
Organization

Contact information

Practice address
200 NORTHGATE DR, MIDLAND, MI 48640-7344
(989) 631-1334
(989) 631-0309
Mailing address
200 NORTHGATE DR, MIDLAND, MI 48640-7344
(989) 631-1334
(989) 631-0309

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901016864
MI

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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