Organization
MUNK & ASSOCIATES ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WAKEFIELD MUNK D.D.S., M.S. (MEMBER)
(248) 625-0880
Entity
Organization
Contact information
Practice address
5825 S MAIN ST, SUITE 201, CLARKSTON, MI 48346-2983
(248) 625-0880
(248) 625-0828
Mailing address
5825 S MAIN ST, SUITE 201, CLARKSTON, MI 48346-2983
(248) 625-0880
(248) 625-0828
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901018292
MI
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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