Organization
ROBERT M DORAZIO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MAXWELL D'ORAZIO D.D.S. (OWNER)
(586) 979-1900
Entity
Organization
Contact information
Practice address
1950 CHESLEY DR, STERLING HEIGHTS, MI 48310-4817
(586) 979-1900
Mailing address
1950 CHESLEY DR, STERLING HEIGHTS, MI 48310-4817
(586) 979-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
139450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1955064840
BCBSM MEDICAL
MI
01
—
D1399450
BCBSM DENTAL
MI
Enumeration date
05/01/2007
Last updated
02/27/2008
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