Organization
MERCY MEDICAL GROUP
Active
Other names
Mercy Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WEINER (PRESIDENT & CEO)
(248) 858-3140
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6100
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
06/23/2011
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