# CARL PAPA D.D.S., P.C.

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

## Provider details

- **NPI number:** 1114193208
- **Authorized official:** DR. CARL PAPA D.D.S. (PRESIDENT)
- **Authorized official phone:** (586) 772-0100

## Contact information

- **Practice address:** 21055 E 12 MILE RD, ROSEVILLE, MI 48066-2205
- **Practice address phone:** (586) 772-0100
- **Practice address fax:** (586) 772-3128
- **Mailing address:** 21055 E 12 MILE RD, ROSEVILLE, MI 48066-2205
- **Mailing address phone:** (586) 772-0100
- **Mailing address fax:** (586) 772-3128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 012222 | MI | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008