42 North Dental Care of Michigan, Pllc

NPI #1033859939 in Tecumseh, Michigan

Provider Information

NPI Number
1033859939
Entity Type
Organization
Organization Name
42 North Dental Care of Michigan, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 30, 2022
Last Updated
Mar 30, 2022

Practice Location

Address
3085 W RUSSELL RD
ZIP Code
49286-1735
Phone
(517) 423-2135

Authorized Official

Name
MICHAEL ANGELO SCIALABBA
Title
CHIEF CLINICAL OFFICER
Phone
(561) 512-2709

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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