Sault Dental Association
NPI #1114101318 in Sault Sainte Marie, Michigan
Provider Information
- NPI Number
- 1114101318
- Entity Type
- Organization
- Organization Name
- Sault Dental Association
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 24, 2007
- Last Updated
- Dec 24, 2007
Practice Location
- Address
- 709 JOHNSTON ST
- State
- Michigan
- ZIP Code
- 49783-2335
- Phone
- (906) 635-6020
Authorized Official
- Name
- CLAYTON C SHUNK, D.D.S.
- Title
- GENERAL PARTNER
- Phone
- (906) 635-6020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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