Organization
PHILIP D. O'NIEL III, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP D. O'NIEL III D.D.S. (PRESIDENT)
(248) 649-2868
Entity
Organization
Contact information
Practice address
1579 W BIG BEAVER RD, TROY, MI 48084-3504
(248) 649-2869
Mailing address
1579 W BIG BEAVER RD, TROY, MI 48084-3504
(248) 649-2869
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901011105
MI
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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