Organization
FLOSSIN IN CLAWSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MEGAN DANYAL DDS (OWNER)
(248) 707-2505
Entity
Organization
Contact information
Practice address
430 S MAIN ST, CLAWSON, MI 48017-2012
(248) 288-1110
Mailing address
55 S MAIN ST, CLARKSTON, MI 48346-1527
(248) 707-5025
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901020732
LICENSE
MI
Enumeration date
12/12/2023
Last updated
12/12/2023
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