| Benjamin J Underwood Dds Llc | |
|
6213 Chicago Rd Ste 100 Warren MI 48092-1697 | |
| (586) 264-5410 | |
| (586) 264-1119 |
| Full Name | Benjamin J Underwood Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6213 Chicago Rd Ste 100, Warren, Michigan |
| Authorized Official Name and Position | Caryn Mallon (OFFICE MANAGER) |
| Authorized Official Contact | 5862645410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin J Underwood Dds Llc 6213 Chicago Rd Ste 100 Warren MI 48092-1697 Ph: (586) 264-5410 | Benjamin J Underwood Dds Llc 6213 Chicago Rd Ste 100 Warren MI 48092-1697 Ph: (586) 264-5410 |
| NPI Number | 1710449459 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710449459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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