Individual
DR. MICHAEL MARTIN DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2414 CROCKETT DR, BROWNWOOD, TX 76801-5906
(325) 646-2515
Mailing address
3013 MISTY SHORE LN, PFLUGERVILLE, TX 78660-3764
(512) 969-3700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15903
TX
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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