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General NPI Number Information
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NPI Number | 1700922085
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Entity Type | Organization
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Legal Business Name | DAVID M KAMINSKI DDS PC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 11666 MARTIN RD
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City | WARREN
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State | MI
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Zip | 48093
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Country | US
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Telephone | 586-754-6160
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Fax | 586-754-7954
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Provider Business Mailing Address
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Address Line | 11666 MARTIN RD
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City | WARREN
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State | MI
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Zip | 48093
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Country | US
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Telephone | 586-754-6160
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Fax | 586-754-7954
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MICHAEL KAMINSKI
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Credential | DDS
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Telephone | 586-754-6160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 13764
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License Number State | MI
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