Individual
MISS KENNETH F MCDANIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11499 HIGHLAND RD, HARTLAND, MI 48353-2709
(810) 632-5566
(810) 632-7556
Mailing address
11499 HIGHLAND RD, HARTLAND, MI 48353-2709
(810) 632-5566
(810) 632-7556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4037054
—
MI
Enumeration date
04/14/2006
Last updated
07/08/2007
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