NPI 1144209032

John Matthew Otrhalek, DDS

Practitioner General Practice Dentistry Harper Woods, MI

Practice location

Address: 20630 Vernier Rd, Harper Woods, MI 48225-1488
Phone: (313) 884-0040
Fax: (313) 884-0777
Mailing address: 60 Colonial Rd, Grosse Pointe Shores, MI 48236-1775

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2901011923 (MI)

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Registry record

NPI: 1144209032
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2006
Record last updated: 8 Jul 2007

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.