Organization
AO OF SAGINAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J SABOURIN DDS (OWNER)
(989) 792-8892
Entity
Organization
Contact information
Practice address
3456 SHATTUCK RD STE 4, SAGINAW, MI 48603-7003
(989) 754-2171
Mailing address
509 CENTER AVE STE 215, BAY CITY, MI 48708-5974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18261
MI
Other
Enumeration date
05/29/2018
Last updated
10/04/2018
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