Individual
DOUGLAS EADES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
809 W 11 MILE RD, ROYAL OAK, MI 48067-2447
(248) 547-8730
(248) 547-8767
Mailing address
809 W 11 MILE RD, ROYAL OAK, MI 48067-2447
(248) 547-8730
(248) 547-8767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016976
MI
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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