Individual
CRAIG MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
10192 GRAND RIVER RD STE 101, BRIGHTON, MI 48116-6516
(810) 220-1700
Mailing address
10192 GRAND RIVER RD STE 101, BRIGHTON, MI 48116-6516
(810) 220-1700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901022312
MI
Other
Enumeration date
10/14/2020
Last updated
05/16/2021
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