Individual
DR. DAVID ALLEN ALDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9416 S MAIN ST, PLYMOUTH, MI 48170-4157
(734) 455-0710
(734) 455-4433
Mailing address
48676 PINEHILL DR, PLYMOUTH, MI 48170-3245
(734) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901011993
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97OH28051
BLUE CROSS MEDICAL
MI
01
—
DAO11993
STATE ID
MI
Enumeration date
11/29/2006
Last updated
07/08/2007
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