Organization
RICHLAND DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN EMILY FAYLE D.D.S. (OWNER)
(269) 629-9087
Entity
Organization
Contact information
Practice address
8699 GULL RD, RICHLAND, MI 49083-9647
(269) 629-9087
Mailing address
8699 GULL RD, RICHLAND, MI 49083-9647
(269) 629-9087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901012482
MI
1223G0001X
General Practice Dentistry
Primary
2901018833
MI
1223G0001X
General Practice Dentistry
2901020033
MI
Other
Enumeration date
09/24/2010
Last updated
11/08/2010
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