Organization
MICHAEL P MCNUTT D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK MCNUTT D.D.S. (OWNER)
(248) 624-5996
Entity
Organization
Contact information
Practice address
1881 N PONTIAC TRL, SUITE A, WALLED LAKE, MI 48390-3101
(248) 624-5996
(248) 624-5997
Mailing address
1881 N PONTIAC TRL, SUITE A, WALLED LAKE, MI 48390-3101
(248) 624-5996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016532
MI
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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