| Canton Ardent | |
|
45650 Ford Rd Canton MI 48187-5432 | |
| (734) 999-3366 | |
| (734) 999-3368 |
| Full Name | Canton Ardent |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 45650 Ford Rd, Canton, Michigan |
| Authorized Official Name and Position | Laura Burkeen (MANANGER) |
| Authorized Official Contact | 7346573395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Ardent 45650 Ford Rd Canton MI 48187-5432 Ph: (734) 999-3366 | Canton Ardent 45650 Ford Rd Canton MI 48187-5432 Ph: (734) 999-3366 |
| NPI Number | 1407462187 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407462187 | NPI | - | NPPES |
| 1841553302 | Other | MI | LENA MUSTAFA |
| 1508985318 | Other | MI | PARESH SHRIMANKAR |
| 1053768432 | Other | MI | SHARVIL SHAH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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