# MOUND DENTAL CLINIC PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mound dental clinic plc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336910421
- **Authorized official:** MIRNA RAHAL (MANAGER)
- **Authorized official phone:** (313) 582-1919

## Contact information

- **Practice address:** 32520 MOUND RD, WARREN, MI 48092-3870
- **Practice address phone:** (586) 553-9520
- **Mailing address:** 32520 MOUND RD, WARREN, MI 48092-3870
- **Mailing address phone:** (586) 553-9520

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2024
- **Last updated:** 01/09/2024