| Barry A. Mentzel, D.d.s., P.c. | |
|
19925 E 10 Mile Rd Saint Clair Shores MI 48080-1069 | |
| (586) 772-1880 | |
| (586) 772-5837 |
| Full Name | Barry A. Mentzel, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 19925 E 10 Mile Rd, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Barry Allen Mentzel (PRESIDENT) |
| Authorized Official Contact | 5867721880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry A. Mentzel, D.d.s., P.c. 19925 E 10 Mile Rd Saint Clair Shores MI 48080-1069 Ph: (586) 772-1880 | Barry A. Mentzel, D.d.s., P.c. 19925 E 10 Mile Rd Saint Clair Shores MI 48080-1069 Ph: (586) 772-1880 |
| NPI Number | 1700053634 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700053634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | M10005 (Michigan) | Primary |
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