Organization
JOHN C. BACARELLA DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHARLES BACARELLA D.D.S. (PRESIDENT)
(734) 243-0440
Entity
Organization
Contact information
Practice address
1050 N MONROE ST, MONROE, MI 48162-3113
(734) 243-0440
(734) 243-5920
Mailing address
1050 N MONROE ST, MONROE, MI 48162-3113
(734) 243-0440
(734) 243-5920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012448
MI
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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