Organization
MICHIGAN ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E FEGAN DDS (SECRETARY)
(586) 573-6860
Entity
Organization
Contact information
Practice address
1982 HOLLAND AVE, PORT HURON, MI 48060
(810) 985-7300
(810) 985-7803
Mailing address
11300 E 13 MILE RD, WARREN, MI 48093
(586) 573-6860
(586) 573-6308
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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