Organization
GAYNOR FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALBERT GAYNOR D.D.S. (OWNER)
(586) 228-7766
Entity
Organization
Contact information
Practice address
42611 GARFIELD RD, CLINTON TWP, MI 48038-1653
(586) 228-7766
(586) 228-1510
Mailing address
42611 GARFIELD RD, CLINTON TWP, MI 48038-1653
(586) 228-7766
(586) 228-1510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015603
MI
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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