NPI 1245466911

Golden Dental Plans of Michigan, INC.

Organisation Exclusive Provider Organization Warren, MI

Practice location

Address: 29377 Hoover Rd, Warren, MI 48093-3475
Phone: (586) 573-8118
Fax: (586) 573-8720

Authorised official

Name: Anthony M. Lentine
Title: Vice President
Phone: (586) 573-8118

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1245466911
Entity type: Organization
NPI issued: 8 Jun 2009
Record last updated: 8 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.