Individual
MICHAEL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 571-2648
Mailing address
7843 S DUNE HWY, EMPIRE, MI 49630-9772
(231) 631-2118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600968
MI
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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