Organization
MICHAEL J. CARL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN CARL DDS (OWNER/DENTIST)
(269) 496-8484
Entity
Organization
Contact information
Practice address
26288 M 60, MENDON, MI 49072-9702
(269) 496-8484
(269) 496-8485
Mailing address
26288 M 60, P.O. BOX 527, MENDON, MI 49072-9702
(269) 496-8484
(269) 496-8485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13593
STATE OF MICHIGAN LICENSE
MI
Enumeration date
05/04/2017
Last updated
05/04/2017
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