Individual
DR. MICHAEL JAMES MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
306 MAIN STREET, KAMIAH, ID 83536
(208) 935-2143
Mailing address
306 MAIN STREET, P.O. BOX 458, KAMIAH, ID 83536
(208) 935-2143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
66D-1856
ID
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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