Organization
PAUL E MARCUZ D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM MARIE HIRTH (OFFICE MANAGER)
(586) 775-0520
Entity
Organization
Contact information
Practice address
22770 KELLY RD, EASTPOINTE, MI 48021-2009
(586) 775-0520
(586) 775-2670
Mailing address
22770 KELLY RD, EASTPOINTE, MI 48021-2009
(586) 775-0520
(586) 775-2670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002091
ASSURANT
MI
01
—
053109
FIRST COMMONWEALTH
MI
05
—
3375692
—
MI
Enumeration date
01/30/2008
Last updated
01/30/2008
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