Carolan Family Dentistry

NPI 1164778346 - Dentist - 1223G0001X

NPI Details
NPI 1164778346
Enumeration Date 07/25/2012
Last Updated 07/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KEVIN B KEVIN
Position CEO
Phone (810) 982-7682
Fax (810) 984-2653
Practice Location
901 SUPERIOR ST
PORT HURON MI, 48060-3746, US
Phone (810) 982-7682
Fax (810) 984-2653
Business Location
901 SUPERIOR ST
PORT HURON MI, 48060-3746, US
Phone (810) 982-7682
Fax (810) 984-2653
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1164778346 NPI Number
 

According to our database, Carolan Family Dentistry NPI is 1164778346, taxonomy code is 1223G0001X Carolan Family Dentistry physically located at 901 Superior St, Port Huron MI, 48060-3746. NPI Number 1033115704 has the healthcare provider type.

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1164778346 NPI number is provided on an as is basis without warranty of any kind. 1164778346 is maintained by the National Plan & Provider Enumeration System. The contents of Carolan Family Dentistry are for informational purposes only.