Organization
ORALSCAN 3D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL W CLANCY DDS (PRESIDENT)
(888) 672-5722
Entity
Organization
Contact information
Practice address
41620 6 MILE RD, STE. 101, NORTHVILLE, MI 48168-8528
(888) 672-5722
(248) 349-4698
Mailing address
41620 6 MILE RD, STE. 101, NORTHVILLE, MI 48168-8528
(888) 672-5722
(248) 349-4698
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
MI
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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