| Bubble Gum Kids Dentistry | |
|
15401 Dix Toledo Rd Southgate MI 48195 | |
| (734) 999-9292 | |
| (734) 999-9393 |
| Full Name | Bubble Gum Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15401 Dix Toledo Rd, Southgate, Michigan |
| Authorized Official Name and Position | Amy Paundlay (SR. VICE PRESIDENT OF OPERATOPMS) |
| Authorized Official Contact | 2034009999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bubble Gum Kids Dentistry 15401 Dix Toledo Rd Southgate MI 48195 Ph: (734) 999-9292 | Bubble Gum Kids Dentistry 15401 Dix Toledo Rd Southgate MI 48195 Ph: (734) 999-9292 |
| NPI Number | 1790461630 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790461630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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