Organization
NORTH OAKLAND DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD THOMAS MCDONALD D.D.S. (OWNER)
(248) 333-2424
Entity
Organization
Contact information
Practice address
35 S JOHNSON ST, SUITE 2A, PONTIAC, MI 48341-1658
(248) 333-2424
(248) 623-1252
Mailing address
35 S JOHNSON ST, SUITE 2A, PONTIAC, MI 48341-1658
(248) 333-2424
(248) 623-1252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901007892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2810761
—
MI
Enumeration date
09/20/2007
Last updated
09/20/2007
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