| Superteeth | |
|
23105 Van Dyke Ave Warren MI 48089-1622 | |
| (586) 759-5353 | |
| Not Available |
| Full Name | Superteeth |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23105 Van Dyke Ave, Warren, Michigan |
| Authorized Official Name and Position | Hanley Lawrence Kaiser (PRESIDENT) |
| Authorized Official Contact | 5867595353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superteeth 23105 Van Dyke Ave Warren MI 48089-1622 Ph: (586) 759-5353 | Superteeth 23105 Van Dyke Ave Warren MI 48089-1622 Ph: (586) 759-5353 |
| NPI Number | 1386829059 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386829059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901009847 (Michigan) | Primary |
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