Individual
DR. ROY D MCANNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
50 W BIG BEAVER RD, SUITE 215, BLOOMFIELD HILLS, MI 48304
(248) 647-0696
(248) 647-3257
Mailing address
50 W BIG BEAVER RD, SUITE 215, BLOOMFIELD HILLS, MI 48304
(248) 647-0696
(248) 647-3257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901011253
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011253
MI
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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