Deluxe Dental Associates 9-Warren PLLC
Dentist, General Practice in Warren, MI. Organization (NPI-2).
NPI number1033969332
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1033969332
- Entity type
- Organization (NPI-2)
- Legal business name
- Deluxe Dental Associates 9-Warren PLLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2024
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Deluxe Dental (Doing Business As)
Practice location
29170 Hoover RdWarren, MI 48093-3476
Phone 810-820-7766 · Fax 810-243-0454
Mailing address
29170 Hoover RdWarren, MI 48093-3476
Phone 810-820-7766 · Fax 810-243-0454
Authorized official
Amber Mikha-Kizy
Owner
8108207766
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