Individual
DR. DOUGLAS KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7255 9 MILE RD, MECOSTA, MI 49332-9344
(231) 972-7104
Mailing address
7255 9 MILE RD, PO BOX 236, MECOSTA, MI 49332-9344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
017775
MI
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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