Organization
MAX AND MANDY DENTAL, PC
Active
Other names
Maize and Blue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DUNCAN MCLAREN DDS (PRESIDENT)
(734) 645-6548
Entity
Organization
Contact information
Practice address
2792 PACKARD RD, YPSILANTI, MI 48197-1932
(734) 434-6170
(734) 514-4584
Mailing address
2792 PACKARD RD, YPSILANTI, MI 48197-1932
(734) 434-6170
(734) 514-4584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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