Organization
ARUNAS S VAITIEKAITIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUNAS S VAITIEKAITIS DDS (PRESIDENT)
(810) 984-8281
Entity
Organization
Contact information
Practice address
805 SUPERIOR ST, PORT HURON, MI 48060-3745
(810) 984-8281
Mailing address
805 SUPERIOR ST, PORT HURON, MI 48060-3745
(810) 984-8281
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2995989
—
MI
05
—
4060802
—
MI
01
—
5746483
BC/BS
MI
Enumeration date
02/22/2006
Last updated
08/22/2020
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