Individual
DR. CHARLES GODFREY NORMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6800 NEWARK RD, SUITE 200, IMLAY CITY, MI 48444-9656
(810) 721-7453
Mailing address
6800 NEWARK RD, SUITE 200, IMLAY CITY, MI 48444-9656
(810) 721-7453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017520
MI
Other
Enumeration date
01/10/2007
Last updated
04/09/2021
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