Individual
DR. BRIAN DANIEL CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
289 W SPRING ST, APT. 1, PLYMOUTH, MI 48170-1688
(248) 514-2568
Mailing address
289 W SPRING ST, APT. 1, PLYMOUTH, MI 48170-1688
(248) 514-2568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020199
MI
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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