Marcena I Gorgaes, D.D.S.
Dentist, General Practice in Warren, MI. Individual provider (NPI-1).
NPI number1356861447
StatusActive
Last updated in NPPESJun 21, 2017
Details
- NPI
- 1356861447
- Entity type
- Individual (NPI-1)
- Name
- Marcena I Gorgaes
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2017
- Last updated
- Jun 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901022270 | MI | Yes |
Practice location
26113 Hoover RdWarren, MI 48089-1147
Phone 586-393-5686
Mailing address
26113 Hoover RdWarren, MI 48089-1147
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