Joshua Lawrence Secrest D.D.S.

NPI 1629269196 - Dentist - 122300000X

NPI Details
NPI 1629269196
Gender Male
Enumeration Date 08/08/2007
Last Updated 10/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2685 US HIGHWAY 23 S
ALPENA MI, 49707-4619, US
Phone (847) 450-4143
Fax
Business Location
2685 US HIGHWAY 23 S
ALPENA MI, 49707-4619, US
Phone (847) 450-4143
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019.029282
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According to our database, Dr. Joshua Lawrence Secrest D.D.S. NPI is 1629269196, taxonomy code is 122300000X and license number is 019.029282, license state is located at Illinois. Joshua Lawrence Secrest D.D.S. physically located at 2685 Us Highway 23 S, Alpena MI, 49707-4619. NPI Number Joshua Lawrence Secrest D.D.S. has the Individual type.

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1629269196 NPI number is provided on an as is basis without warranty of any kind. 1629269196 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Lawrence Secrest D.D.S. are for informational purposes only.