| 42 North Dental Care Of Michigan, Pllc | |
|
21635 Ryan Rd Warren MI 48091-2788 | |
| (586) 757-7540 | |
| Not Available |
| Full Name | 42 North Dental Care Of Michigan, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21635 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 42 North Dental Care Of Michigan, Pllc 21635 Ryan Rd Warren MI 48091-2788 Ph: () - | 42 North Dental Care Of Michigan, Pllc 21635 Ryan Rd Warren MI 48091-2788 Ph: (586) 757-7540 |
| NPI Number | 1679213573 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679213573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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