# KAISER DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Superteeth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386829059
- **Authorized official:** DR. HANLEY LAWRENCE KAISER DDS (PRESIDENT)
- **Authorized official phone:** (586) 759-5353

## Contact information

- **Practice address:** 23105 VAN DYKE AVE, WARREN, MI 48089-1622
- **Practice address phone:** (586) 759-5353
- **Mailing address:** 23105 VAN DYKE AVE, WARREN, MI 48089-1622
- **Mailing address phone:** (586) 759-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901009847 | MI | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 12/31/2007