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Organization
DARNELL KAIGLER D D S P C
Active
Organization
DARNELL KAIGLER D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARNELL KAIGLER JR. D.D.S,M.S.,PH.D (PERIODONTIST)
(313) 871-0436
Entity
Organization
Contact information
Practice address
2671 W GRAND BLVD, DETROIT, MI 48208-1203
(313) 871-0436
(313) 871-4807
Mailing address
2671 W GRAND BLVD, DETROIT, MI 48208
(313) 871-0436
(313) 871-4807
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901018534
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073578498
NPI
MI
01
—
1093770414
NPI
MI
01
—
1366544462
NPI
MI
01
—
1427149863
NPI
MI
Enumeration date
06/03/2009
Last updated
12/27/2010
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