# DOUGLAS J KARDYNAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Douglas J Kardynal DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497873558
- **Authorized official:** DOUGLAS JEROME KARDYNAL DDS (OWNER DENTIST)
- **Authorized official phone:** (586) 978-0015

## Contact information

- **Practice address:** 4098 17 MILE RD, STERLING HEIGHTS, MI 48310-6836
- **Practice address phone:** (586) 978-0015
- **Practice address fax:** (586) 268-1660
- **Mailing address:** 4098 17 MILE RD, STERLING HEIGHTS, MI 48310-6836
- **Mailing address phone:** (586) 978-0015
- **Mailing address fax:** (586) 268-1660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901017281 | MI | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020