Organization
BARRY A. MENTZEL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALLEN MENTZEL D.D.S. (PRESIDENT)
(586) 772-1880
Entity
Organization
Contact information
Practice address
19925 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080-1069
(586) 772-1880
(586) 772-5837
Mailing address
19925 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080-1069
(586) 772-1880
(586) 772-5837
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
M10005
MI
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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