Organization Name: | ARNOLD J KOLLIN DDD, MAURICE S OPPERER DDS PC |
NPI Number: | 1063559003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARNOLD J KOLLIN (PRES.) |
Mailing Address: | 42370 Van Dyke Ave Sterling Hts |
State: | MI US |
Postal Code: | 483143487 |
Phone Number: | 5862543860 |
Fax Number: | 5862546575 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 8324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |