Organization
DRS DELANEY PLUNKETT RALSTROM MAKOWSKI THANASAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLEN MCCORMICK (INSURANCE SUPERVISOR)
(586) 286-0700
Entity
Organization
Contact information
Practice address
39400 GARFIELD RD, SUITE 200, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-0700
(586) 286-5969
Mailing address
39400 GARFIELD RD, SUITE 200, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-0700
(586) 286-5969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
09/18/2009
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