Individual
MICHAEL JOHN MAUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9751 E GRAND RIVER AVE, PORTLAND, MI 48875-9774
(517) 647-0081
(517) 647-0083
Mailing address
8037 ABBEY RD, PORTLAND, MI 48875-9364
(517) 647-0081
(517) 647-0083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015857
MI
Other
Enumeration date
06/05/2007
Last updated
03/04/2021
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