# RONALD MARTELLA DDS PLC

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

## Provider details

- **NPI number:** 1053374215
- **Authorized official:** DR. RONALD MARTELLA DDS (DENTIST)
- **Authorized official phone:** (248) 545-6400

## Contact information

- **Practice address:** 2241 HILTON RD, SUITE \#1, FERNDALE, MI 48220-1459
- **Practice address phone:** (248) 545-6400
- **Practice address fax:** (248) 545-8530
- **Mailing address:** 2241 HILTON RD, SUITE \#1, FERNDALE, MI 48220-1459
- **Mailing address phone:** (248) 545-6400
- **Mailing address fax:** (248) 545-8530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12200 | MI | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 08/22/2020
