Organization · Type 2 NPI

42 North Dental Care of Michigan, PLLC

Dental Clinic/Center · Warren, MI

NPI number 1679213573 Active

Practice location

21635 Ryan Rd
Warren, MI 48091-2788

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

4 other providers at this address

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NPI record

NPI: 1679213573
Entity type: Organization (Type 2)
Issued: Mar 30, 2022
Last updated: Mar 30, 2022
Status: Active
Subpart: Yes of 42 North Dental Care of Michigan, PLLC

Other names

Great Lakes Family Dental, Warren · doing business as

Authorized official

Michael Angelo Scialabba
Chief Clinical Officer
(561) 512-2709

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About NPI 1679213573

42 North Dental Care of Michigan, PLLC's National Provider Identifier is 1679213573, issued on Mar 30, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Warren, MI. The record was last updated on Mar 30, 2022.