# WARRENDALE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942519624
- **Authorized official:** DR. BERNARD A JOHNSON DDS (PRESIDENT)
- **Authorized official phone:** (313) 584-5600

## Contact information

- **Practice address:** 6501 GREENFIELD RD \# 201, DETROIT, MI 48228-4780
- **Practice address phone:** (313) 584-5600
- **Mailing address:** 6501 GREENFIELD RD \# 201, DETROIT, MI 48228-4780
- **Mailing address phone:** (313) 584-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901011576 | MI | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 09/29/2010