Organization
BOYNE CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REX MORIARITY (OWNER)
(231) 582-8000
Entity
Organization
Contact information
Practice address
830 STATE ST, BOYNE CITY, MI 49712
(231) 582-6644
(231) 582-6853
Mailing address
PO BOX 368, 830 STATE ST, BOYNE CITY, MI 49712
(231) 582-6644
(231) 582-6853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013182
MI
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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