Organization
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Active
Parent organization
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Other names
Great Lakes Family Dental, Warren
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Authorized official
MICHAEL ANGELO SCIALABBA (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
21635 RYAN RD, WARREN, MI 48091-2788
(586) 757-7540
Mailing address
21635 RYAN RD, WARREN, MI 48091-2788
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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