Organization

Detroit Root Canal Specialists, Pc

Dentist in Detroit, MI(View on Map)

Legal Business Name

Detroit Root Canal Specialists, Pc

NPI Number

1942605209

NPI Type

Organization

Enumeration Date

10/29/2014

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

2901020626

Contact
Information

Purpose

Mailing
Location

Address

15510 LIVERNOIS
15510 LIVERNOIS

City

Detroit
Detroit

State

MI
MI

Postal Code

48238
48238

Country

US
US

Telephone Number

(313) 863-2800
(313) 863-2800

Authorized Official

Name

Donna Kirchner

Title or Position

INSURANCE MANAGER

Telephone Number

(586) 915-0107

Identifiers

Identifier

2901020626

Identifier State

MI

Identifier Issuer

STATE LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2014

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