Organization
NOVI RECONSTRUCTIVE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK T WARANOWICZ DDS MS (PRESIDENT)
(248) 349-7900
Entity
Organization
Contact information
Practice address
42260 GRAND RIVER AVE, NOVI, MI 48375-1836
(248) 349-7900
(248) 349-5751
Mailing address
42260 GRAND RIVER AVE, NOVI, MI 48375-1836
(248) 349-7900
(248) 349-5751
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
MI14292
MI
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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