Organization
ROYAL OAK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GERGORY COSTELLO (OFFICE MANAGER)
(248) 543-7070
Entity
Organization
Contact information
Practice address
28 OAKLAND PARK BLVD, PLEASANT RIDGE, MI 48069-1109
(248) 543-7070
(248) 543-3520
Mailing address
1200 S WASHINGTON AVE, ROYAL OAK, MI 48067-3222
(248) 543-7070
(248) 543-3520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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