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Organization

DRS MAY AND MALLORY DDS PC

Active
Other names
BRETON GARDENS FAMILY DENTISTRY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID EDWARD MAY D.D.S. (OWNER/DENTIST)
(616) 455-0720
Entity
Organization

Contact information

Practice address
4144 BRETON RD SE, KENTWOOD, MI 49512-3856
(616) 455-0720
(616) 455-0815
Mailing address
4144 BRETON RD SE, KENTWOOD, MI 49512-3856
(616) 455-0720
(616) 455-0815

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15053
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4234026
MI
05
4234035
MI
Enumeration date
03/18/2008
Last updated
03/18/2008
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