Individual
MARCENA I GORGAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
26113 HOOVER RD, WARREN, MI 48089-1147
(586) 393-5686
Mailing address
26113 HOOVER RD, WARREN, MI 48089-1147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022270
MI
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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