Individual
KYLE BERNARD DANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9420 BIRCH RUN RD, BIRCH RUN, MI 48415-9442
(989) 624-5570
Mailing address
9420 BIRCH RUN RD, BIRCH RUN, MI 48415-9442
(989) 624-5570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020695
MI
Other
Enumeration date
05/31/2012
Last updated
07/10/2012
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