Individual
DR. MARK W PAGANINI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1080 S VAN DYKE RD, SUITE C, BAD AXE, MI 48413-9635
(989) 269-9769
(989) 269-8778
Mailing address
1080 S VAN DYKE RD, SUITE C, BAD AXE, MI 48413-9635
(989) 269-9769
(989) 269-8778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14264
MI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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