Organization
DANIEL S MAUDLIN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SYDNEY MAUDLIN D.D.S (GENERAL DENTIST)
(269) 327-4473
Entity
Organization
Contact information
Practice address
3060 W CENTRE AVE, PORTAGE, MI 49024-4825
(269) 327-4473
(269) 327-1174
Mailing address
3060 W CENTRE AVE, PORTAGE, MI 49024-4825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10702
MI
Other
Enumeration date
04/12/2007
Last updated
11/04/2010
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