Organization
GREGG S RESNICK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG S RESNICK DDS (OWNER)
(989) 354-4884
Entity
Organization
Contact information
Practice address
110 ARBOR LN, ALPENA, MI 49707-1302
(989) 354-4884
Mailing address
110 ARBOR LN, ALPENA, MI 49707-1302
(989) 354-4884
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
2901013806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740294784
—
MI
Enumeration date
12/06/2017
Last updated
12/06/2017
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