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Organization
MICHAEL L MIANECKI DDS & JOHN P CARLINO DDS PC
Active
Organization
MICHAEL L MIANECKI DDS & JOHN P CARLINO DDS PC
Active
Other names
Mianecki & Carlino DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN M TOMSHA (OFFICE MANAGER)
(586) 725-9898
Entity
Organization
Contact information
Practice address
51190 D W SEATON, NEW BALTIMORE, MI 48047
(586) 725-9898
(586) 725-4470
Mailing address
51190 D W SEATON, NEW BALTIMORE, MI 48047
(586) 725-9898
(586) 725-4470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12534
MI
122300000X
Dentist
16971
MI
122300000X
Dentist
17456
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805391
—
MI
01
—
3331437
MEDICAID
MI
01
—
4125193
MEDICAID
MI
Enumeration date
11/10/2006
Last updated
08/22/2020
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