Organization
CENTERPOINTE ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK C MCKINLEY DDS (PRESIDENT / CEO)
(231) 487-9000
Entity
Organization
Contact information
Practice address
18530 MACK AVE, SUITE 192, GROSSE POINTE FARMS, MI 48236-3254
(231) 487-9000
Mailing address
18530 MACK AVE, SUITE 192, GROSSE POINTE FARMS, MI 48236-3254
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
L839484
MI
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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