| Mianecki & Carlino Dds Pc | |
|
51190 D W Seaton New Baltimore MI 48047 | |
| (586) 725-9898 | |
| (586) 725-4470 |
| Full Name | Mianecki & Carlino Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 51190 D W Seaton, New Baltimore, Michigan |
| Authorized Official Name and Position | Joann M Tomsha (OFFICE MANAGER) |
| Authorized Official Contact | 5867259898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mianecki & Carlino Dds Pc 51190 D W Seaton New Baltimore MI 48047 Ph: (586) 725-9898 | Mianecki & Carlino Dds Pc 51190 D W Seaton New Baltimore MI 48047 Ph: (586) 725-9898 |
| NPI Number | 1760553143 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760553143 | NPI | - | NPPES |
| 1805391 | Medicaid | MI | |
| 4125193 | Other | MI | MEDICAID |
| 3331437 | Other | MI | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12534 (Michigan) | Primary |
| 122300000X | Dentist | 16971 (Michigan) | Secondary |
| 122300000X | Dentist | 17456 (Michigan) | Secondary |
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