Detalmax PC
NPI #1194084780 in Comstock Park, Michigan
Provider Information
- NPI Number
- 1194084780
- Entity Type
- Organization
- Organization Name
- Detalmax PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 16, 2012
- Last Updated
- May 16, 2012
Practice Location
- Address
- 6655 ALPINE AVE NW
- Address 2
- SUITE 1
- City
- Comstock Park
- State
- Michigan
- ZIP Code
- 49321-8000
- Phone
- (616) 784-8950
Authorized Official
- Name
- GREGORY P HOUGHTELING, D.D.S.
- Title
- CEO
- Phone
- (616) 784-8950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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