Individual
MAEGAN ELIZABETH DAUGHTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16800 W 12 MILE RD, SUITE 101, SOUTHFIELD, MI 48076-2108
(248) 423-9800
(248) 423-3486
Mailing address
16800 W 12 MILE RD, SUITE 101, SOUTHFIELD, MI 48076-2108
(248) 423-9800
(248) 423-3486
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901021773
MI
1223P0221X
Pediatric Dentistry
30.024693
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
10/10/2016
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