Organization
MORNING STAR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS L PAULUS DDS (PRESIDENT)
(586) 393-1516
Entity
Organization
Contact information
Practice address
8292 E 12 MILE RD, WARREN, MI 48093-2737
(586) 393-1516
(586) 393-1518
Mailing address
PO BOX 3756, SOUTHFIELD, MI 48037-3756
(586) 393-1516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5387647
—
MI
Enumeration date
09/22/2021
Last updated
09/22/2021
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