Organization
RJ MIRIANI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARTER W RAE DDS (PRESIDENT)
(989) 685-2636
Entity
Organization
Contact information
Practice address
126 E MAIN ST, ROSE CITY, MI 48654-0160
(989) 685-2636
(989) 685-8477
Mailing address
BOX 160, 126 E MAIN ST, ROSE CITY, MI 48654-0160
(989) 685-2636
(989) 685-8477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012868
MI
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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