IndividualActive

Jonattan Angulo, DDS

NPI 1861002719 · Oral & Maxillofacial Surgery (D.M.D.) · Warren, MI

Provider details

NPI number: 1861002719
Entity type: Individual
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Credential: DDS
Sex: Male
Sole proprietor: No
License: 5315214666 (MI)

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense 2952000716 (MI)
Allopathic & Osteopathic Physicians
Oral & Maxillofacial Surgery (D.M.D.)204E00000XLicense 5315214666 (MI)
Allopathic & Osteopathic Physicians
Oral & Maxillofacial Surgery (D.M.D.)204E00000XLicense 5315214665 (MI)
Allopathic & Osteopathic Physicians

11900 E 12 Mile Rd Ste 210

Warren, MI 48093-3490

Phone: (586) 582-7100

Fax: (586) 582-6147

Approximate (ZIP-level) locationGet directions

11900 E 12 Mile Rd Ste 210

Warren, MI 48093-3490

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.