Organization
SIGNATURE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY KAY MELEGARI DDS (OWNER)
(586) 863-1336
Entity
Organization
Contact information
Practice address
24911 LITTLE MACK AVE, SUITE B, SAINT CLAIR SHORES, MI 48080-3200
(586) 863-1336
(586) 863-1499
Mailing address
24911 LITTLE MACK AVE, SUITE B, SAINT CLAIR SHORES, MI 48080-3200
(586) 863-1336
(586) 863-1499
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5315020321
MI
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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