Individual
DR. MICHAEL THOMAS PINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1303 MACOM DR, NAPERVILLE, IL 60564-3202
(630) 851-9100
(630) 851-6983
Mailing address
1303 MACOM DR, NAPERVILLE, IL 60564-3202
(630) 851-9100
(630) 851-6983
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019026465
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS037820
PA
Other
Enumeration date
05/01/2010
Last updated
11/07/2011
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