Organization
DAVID DIBBLE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE DIBBLE DDS (PRESIDENT)
(231) 544-8115
Entity
Organization
Contact information
Practice address
2550 N MAIN STREET, CENTRAL LAKE, MI 49622
(231) 544-8115
(231) 544-6012
Mailing address
PO BOX 457, 2550 N MAIN STREET, CENTRAL LAKE, MI 49622
(231) 544-8115
(231) 544-6012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013248
MI
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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