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Organization
MY WARREN DENTAL
Active
Organization
MY WARREN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH THAYIL DDS (PRESIDENT)
(586) 486-4600
Entity
Organization
Contact information
Practice address
3456 E 12 MILE RD STE 2, WARREN, MI 48092-2511
(586) 486-4600
(586) 486-4624
Mailing address
3456 E 12 MILE RD STE 2, WARREN, MI 48092-2511
(586) 486-4600
(586) 486-4624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2026
Last updated
09/10/2026
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