Individual
DR. DANIEL O'CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1559 68TH ST SE, SUITE A, GRAND RAPIDS, MI 49508-7010
(616) 258-2005
(616) 345-0460
Mailing address
1559 68TH ST SE, GRAND RAPIDS, MI 49508-7015
(616) 258-2005
(616) 345-0460
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901021138
MI
Other
Enumeration date
06/12/2012
Last updated
04/05/2016
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