Individual
DR. JOHN MICHAEL MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2076 BALDWIN ST, JENISON, MI 49428-8772
(616) 457-2710
Mailing address
2076 BALDWIN ST, JENISON, MI 49428-8772
(616) 457-2710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020514
MI
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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