# HOUGHTON LAKE FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023734639
- **Authorized official:** DR. ROBERT JOSEPH PACELLA DMD (OWNER/DENTIST)
- **Authorized official phone:** (989) 965-0395

## Contact information

- **Practice address:** 9260 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-8902
- **Practice address phone:** (989) 422-4099
- **Mailing address:** 9260 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-8902
- **Mailing address phone:** (989) 422-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022