Organization
HOUGHTON LAKE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M PACELLA DDS (OWNER/DENTIST)
(989) 422-4099
Entity
Organization
Contact information
Practice address
9260 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-8902
(989) 422-4099
(989) 422-3167
Mailing address
9260 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-8902
(989) 422-4099
(989) 422-3167
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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