Roy D Mcannally, DMD Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Bloomfield Hills, MI
- NPI
- 1518147016
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 2901011253 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-11-13
- Last updated
- 2007-11-13
Practice location
50 W Big Beaver Rd, Suite 215
Bloomfield Hills, MI 48304
(248) 647-0696