Organization
SUNSHINE DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD C JOHNSON DDS (OWNER)
(586) 758-3620
Entity
Organization
Contact information
Practice address
21761 RYAN RD, WARREN, MI 48091
(586) 758-3620
(586) 758-8279
Mailing address
PO BOX 759, TROY, MI 48099-0759
(586) 758-3620
(586) 758-8279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1968261
—
MI
01
—
815858
UNITED CONCORDIA
—
Enumeration date
03/13/2007
Last updated
08/22/2020
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