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Individual

DR. ARUNAS S VAITIEKAITIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
805 SUPERIOR ST, PORT HURON, MI 48060-3745
(810) 984-8281
Mailing address
805 SUPERIOR ST, PORT HURON, MI 48060-3745
(810) 984-8281

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901010497
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2995989
MI
05
4060802
MI
Enumeration date
02/19/2006
Last updated
07/09/2007
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