Redwood Dental Group
NPI #1164893392 in Canton, Michigan
Provider Information
- NPI Number
- 1164893392
- Entity Type
- Organization
- Organization Name
- Redwood Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 14, 2015
- Last Updated
- Oct 14, 2015
Practice Location
Authorized Official
- Name
- DR. MARK A BOUCHILLON, D.D.S.
- Title
- PRESIDENT
- Phone
- 15869792800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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