Organization
BLYTHE A O'DONNELL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLYTHE A O'DONNELL DDS (DENTIST)
(231) 723-6512
Entity
Organization
Contact information
Practice address
812 CYPRESS ST, MANISTEE, MI 49660-2110
(231) 723-6512
(231) 723-0000
Mailing address
812 CYPRESS ST, MANISTEE, MI 49660-2110
(231) 723-6512
(231) 723-0000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
11462
MI
261QD0000X
Dental Clinic/Center
Primary
18268
MI
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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