| Advanced Dental Imaging Of Michigan, Pllc | |
|
10 W Square Lake Rd Suite 305 Bloomfield Hills MI 48302-0465 | |
| (248) 977-1012 | |
| Not Available |
| Full Name | Advanced Dental Imaging Of Michigan, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 10 W Square Lake Rd, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Sandra T Vandevelde (OWNER/MANAGER) |
| Authorized Official Contact | 2489771012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Imaging Of Michigan, Pllc 10 W Square Lake Rd Suite 305 Bloomfield Hills MI 48302-0465 Ph: (248) 977-1012 | Advanced Dental Imaging Of Michigan, Pllc 10 W Square Lake Rd Suite 305 Bloomfield Hills MI 48302-0465 Ph: (248) 977-1012 |
| NPI Number | 1558671370 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558671370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901014174 (Michigan) | Primary |
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