Individual
MICHELE P MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
815 N NOVA RD, DAYTONA BEACH, FL 32117-4615
(386) 252-8508
Mailing address
815 N NOVA RD, DAYTONA BEACH, FL 32117-4615
(386) 252-8508
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN 16278
FL
Other
Enumeration date
12/04/2006
Last updated
04/26/2011
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