Organization
MCGETTRICK DENTAL MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNA MARIE MCGETTRICK D.D.S. (CEO)
(248) 200-9704
Entity
Organization
Contact information
Practice address
27115 GRATIOT AVE, ROSEVILLE, MI 48066-2900
(248) 200-9704
Mailing address
6804 MEADOW CT, TROY, MI 48098-2032
(248) 200-9704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5315041112
MI
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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