| Bloomfield Hills Dental Group Pllc | |
|
43902 Woodward Ave Ste 220 Bloomfield Hills MI 48302-5022 | |
| (248) 335-4427 | |
| (248) 332-2014 |
| Full Name | Bloomfield Hills Dental Group Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 43902 Woodward Ave Ste 220, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Omar Elbanhawy (OWNER) |
| Authorized Official Contact | 2483354427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Hills Dental Group Pllc 43902 Woodward Ave Ste 220 Bloomfield Hills MI 48302-5022 Ph: (248) 335-4427 | Bloomfield Hills Dental Group Pllc 43902 Woodward Ave Ste 220 Bloomfield Hills MI 48302-5022 Ph: (248) 335-4427 |
| NPI Number | 1902473374 |
|---|---|
| Provider Enumeration Date | 06/05/2021 |
| Last Update Date | 06/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902473374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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