Individual
DR. MICHAEL THOMAS PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5760 CLARKSTON RD., SUITE A, CLARKSTON, MI 48348-4706
(248) 625-9001
(248) 625-8729
Mailing address
5760 CLARKSTON RD., SUITE A, CLARKSTON, MI 48348-4706
(248) 625-9001
(248) 625-8729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11854
MI
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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