Individual
RICHARD KEITH ISGRIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7012 EAST M-36, WHITMORE LAKE, MI 48189
(810) 231-2288
Mailing address
PO BOX 423, HAMBURG, MI 48139-0423
(810) 231-2288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11238
MI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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