Organization
DARNELL KAIGLER PLLC
Active
Other names
Detroit Dental Specialty Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARNELL KAIGLER JR. DDS, MS, PHD (PRESIDENT)
(313) 936-0819
Entity
Organization
Contact information
Practice address
430 MACK AVE, DETROIT, MI 48201-2136
(313) 936-0819
(313) 936-0818
Mailing address
430 MACK AVE, DETROIT, MI 48201-2136
(313) 936-0819
(313) 936-0818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901017652
MI
1223E0200X
Endodontics
2901018329
MI
1223P0300X
Periodontics
Primary
2901018534
MI
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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