Organization
HOUGHTON LAKE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH PACELLA DMD (OWNER/DENTIST)
(989) 965-0395
Entity
Organization
Contact information
Practice address
9260 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-8902
(989) 422-4099
Mailing address
9260 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-8902
(989) 422-4099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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