# PAUL E MARCUZ D.D.S.,P.C.

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

## Provider details

- **NPI number:** 1073790200
- **Authorized official:** MS. KIM MARIE HIRTH (OFFICE MANAGER)
- **Authorized official phone:** (586) 775-0520

## Contact information

- **Practice address:** 22770 KELLY RD, EASTPOINTE, MI 48021-2009
- **Practice address phone:** (586) 775-0520
- **Practice address fax:** (586) 775-2670
- **Mailing address:** 22770 KELLY RD, EASTPOINTE, MI 48021-2009
- **Mailing address phone:** (586) 775-0520
- **Mailing address fax:** (586) 775-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 015934 | MI | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 01/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002091 | ASSURANT | MI |
| 01 | — | 053109 | FIRST COMMONWEALTH | MI |
| 05 | — | 3375692 | — | MI |