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Organization
BARRY A. MENTZEL, D.D.S., P.C.
Active
Organization
BARRY A. MENTZEL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALLEN MENTZEL D.D.S. (PRESIDENT)
(586) 772-1880
Entity
Organization
Contact information
Practice address
19925 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080-1069
(586) 772-1880
(586) 772-5837
Mailing address
19925 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080-1069
(586) 772-1880
(586) 772-5837
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
M10005
MI
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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