Organization
PROFESSIONAL PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MERAW DDS (PRESIDENT)
(586) 751-0070
Entity
Organization
Contact information
Practice address
30101 HOOVER RD STE A, WARREN, MI 48093-6572
(586) 751-0070
Mailing address
30101 HOOVER RD STE A, WARREN, MI 48093-6572
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901017594
MI
Other
Enumeration date
02/17/2013
Last updated
02/17/2013
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