Organization
ALL ABOUT ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL R. PUTRUS DMD (PRESIDENT, CHIEF ORTHODONTIST)
(586) 999-9000
Entity
Organization
Contact information
Practice address
4600 E 14 MILE RD STE 3/4, WARREN, MI 48092-4369
(586) 999-9000
(586) 999-8000
Mailing address
4600 E 14 MILE RD STE 3/4, WARREN, MI 48092-4369
(586) 999-9000
(586) 999-8000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901022120
MI
Other
Enumeration date
04/18/2018
Last updated
09/08/2018
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