Provider Demographics
NPI:1982858288
Name:THE DENTIST-WEST
Entity Type:Organization
Organization Name:THE DENTIST-WEST
Other - Org Name:DR. RITA MARROGHI, DDS. P.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARROGHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-438-6421
Mailing Address - Street 1:2390 S COMMERCE RD
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-2128
Mailing Address - Country:US
Mailing Address - Phone:248-438-6421
Mailing Address - Fax:248-438-6423
Practice Address - Street 1:2390 S COMMERCE RD
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-2128
Practice Address - Country:US
Practice Address - Phone:248-438-6421
Practice Address - Fax:248-438-6423
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE DENTIST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI16756122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty