Individual
DR. OTIS L MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
312 E SAGINAW ST, AU GRES, MI 48703-9637
(989) 876-7141
(989) 876-6680
Mailing address
312 E SAGINAW ST, AU GRES, MI 48703-9637
(989) 876-7141
(989) 876-6680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10906
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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