Organization
GOLDEN DENTAL PLANS OF MICHIGAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY M. LENTINE (VICE PRESIDENT)
(586) 573-8118
Entity
Organization
Contact information
Practice address
29377 HOOVER RD, WARREN, MI 48093-3475
(586) 573-8118
(586) 573-8720
Mailing address
29377 HOOVER RD, WARREN, MI 48093-3475
(586) 573-8118
(586) 573-8720
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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