Individual
DR. KENNETH J. MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
540 S PARKER ST, MARINE CITY, MI 48039-3585
(810) 765-1440
(810) 765-3752
Mailing address
540 S PARKER ST, MARINE CITY, MI 48039-3585
(810) 765-1440
(810) 765-3752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12658
MI
Other
Enumeration date
03/01/2006
Last updated
07/08/2007
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