# MIDTOWN DENTAL

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

## Provider details

- **NPI number:** 1205298858
- **Authorized official:** DR. SAMUEL WEINER DDS (OWNER)
- **Authorized official phone:** (586) 491-6482

## Contact information

- **Practice address:** 28759 HOOVER RD, WARREN, MI 48093-4152
- **Practice address phone:** (586) 491-6482
- **Mailing address:** 28759 HOOVER RD, WARREN, MI 48093-4152
- **Mailing address phone:** (586) 491-6482

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2016
- **Last updated:** 03/23/2016