| Bloomfield Dental Group Pc | |
|
6443 Inkster Rd Ste 176 Bloomfield Hills MI 48301-1303 | |
| (248) 855-4143 | |
| Not Available |
| Full Name | Bloomfield Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6443 Inkster Rd Ste 176, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Jessica Jameel Kakos (PRESIDENT) |
| Authorized Official Contact | 2488554143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Dental Group Pc 6443 Inkster Rd Ste 176 Bloomfield Hills MI 48301-1303 Ph: () - | Bloomfield Dental Group Pc 6443 Inkster Rd Ste 176 Bloomfield Hills MI 48301-1303 Ph: (248) 855-4143 |
| NPI Number | 1306277363 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306277363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018996 (Michigan) | Primary |
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