| A1 Family Dentistry Of Licoln Park,plc | |
|
3830 Fort St Lincoln Park MI 48146-4107 | |
| (586) 226-0638 | |
| Not Available |
| Full Name | A1 Family Dentistry Of Licoln Park,plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3830 Fort St, Lincoln Park, Michigan |
| Authorized Official Name and Position | Aneel Kaurr Randhawa (OWNER) |
| Authorized Official Contact | 5862260638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A1 Family Dentistry Of Licoln Park,plc 50481 Koss Dr Macomb MI 48044-6320 Ph: (586) 226-0638 | A1 Family Dentistry Of Licoln Park,plc 3830 Fort St Lincoln Park MI 48146-4107 Ph: (586) 226-0638 |
| NPI Number | 1366826182 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366826182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019199 (Michigan) | Primary |
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