Organization
CLARKSTON PEDIATRIC DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RYAN WALSH DDS (OWNER)
(248) 795-5131
Entity
Organization
Contact information
Practice address
6401 CITATION DR, SUITE A, CLARKSTON, MI 48346-2992
(248) 625-3603
(248) 625-7164
Mailing address
6401 CITATION DR, SUITE A, CLARKSTON, MI 48346-2992
(248) 625-3603
(248) 625-7164
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901021075
MI
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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