Organization
CASEVILLE FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WLOSZEK (OWNER)
(586) 805-8052
Entity
Organization
Contact information
Practice address
6982 MAIN ST, CASEVILLE, MI 48725-5110
(586) 805-8052
Mailing address
45861 KENSINGTON ST, UTICA, MI 48317-5962
(586) 805-8052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
01/05/2023
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