Individual
DR. GARY HAROLD DWIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
818 W LAKE LANSING RD, EAST LANSING, MI 48823-1308
(517) 333-9500
(517) 333-9509
Mailing address
6400 PINE HOLLOW DR, EAST LANSING, MI 48823-9737
(517) 339-1812
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D10120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2985740
—
MI
05
—
4045412
—
MI
Enumeration date
06/01/2005
Last updated
04/02/2008
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