| Sean R O'brien | |
|
1716 S Lilley Rd Canton MI 48188-1108 | |
| (734) 397-5500 | |
| (734) 394-2528 |
| Full Name | Sean R O'brien |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1716 S Lilley Rd, Canton, Michigan |
| Authorized Official Name and Position | Sean Robert O'brien (OWNER) |
| Authorized Official Contact | 7343975500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean R O'brien 1716 S Lilley Rd Canton MI 48188-1108 Ph: (734) 397-5500 | Sean R O'brien 1716 S Lilley Rd Canton MI 48188-1108 Ph: (734) 397-5500 |
| NPI Number | 1154929594 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154929594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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