Organization
DALTON P COE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADI K BOYCE DDS (PRESIDENT)
(989) 883-3530
Entity
Organization
Contact information
Practice address
106 E MAIN ST, SEBEWAING, MI 48759
(989) 883-3530
(989) 883-9131
Mailing address
106 E MAIN ST, SEBEWAING, MI 48759
(989) 883-3530
(989) 883-9131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017713
MI
1223G0001X
General Practice Dentistry
2901019515
MI
Other
Enumeration date
08/31/2006
Last updated
01/19/2017
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