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Cavanaugh Dental PLLC

Dentist in Lansing, MI. Organization (NPI-2).

NPI number1124584396
StatusActive
Last updated in NPPESFeb 13, 2019

Details

NPI
1124584396
Entity type
Organization (NPI-2)
Legal business name
Cavanaugh Dental PLLC
Organization subpart
No
Enumeration date
Feb 13, 2019
Last updated
Feb 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

900 E Cavanaugh Rd
Lansing, MI 48910-5624

Phone 517-371-5374

Mailing address

2410 Lake Lansing Rd Ste 2
Lansing, MI 48912-3659

Phone 517-371-5342

Authorized official

Daniel J. Derksen
Member
5173715342

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