Royal Oak Family Dentistry
NPI #1417907312 in Pleasant Ridge, Michigan
Provider Information
- NPI Number
- 1417907312
- Entity Type
- Organization
- Organization Name
- Royal Oak Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 28 OAKLAND PARK BLVD
- City
- Pleasant Ridge
- State
- Michigan
- ZIP Code
- 48069-1109
- Phone
- (248) 543-7070
Authorized Official
- Name
- MR. DANIEL GERGORY COSTELLO
- Title
- OFFICE MANAGER
- Phone
- (248) 543-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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