# DAVID W. REGIANI, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regiani Holistic Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962471631
- **Authorized official:** DR. DAVID WILLIAM REGIANI D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (248) 625-5222

## Contact information

- **Practice address:** 10435 ORTONVILLE ROAD - SUITE B, CLARKSTON, MI 48348
- **Practice address phone:** (248) 625-5222
- **Practice address fax:** (248) 922-7808
- **Mailing address:** 10435 ORTONVILLE ROAD - SUITE B, CLARKSTON, MI 48348
- **Mailing address phone:** (248) 625-5222
- **Mailing address fax:** (248) 922-7808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11926 | MI | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 09/28/2016
