Children's Dental Home | |
24611 Coolidge Hwy Oak Park MI 48237-1449 | |
(248) 291-5443 | |
Not Available |
Full Name | Children's Dental Home |
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Speciality | Dentist - Pediatric Dentistry |
Location | 24611 Coolidge Hwy, Oak Park, Michigan |
Authorized Official Name and Position | Nabih Kizy (MANAGER) |
Authorized Official Contact | 5867094210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children's Dental Home 24611 Coolidge Hwy Oak Park MI 48237-1449 Ph: (248) 291-5443 | Children's Dental Home 24611 Coolidge Hwy Oak Park MI 48237-1449 Ph: (248) 291-5443 |
NPI Number | 1811690480 |
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Provider Enumeration Date | 03/23/2023 |
Last Update Date | 03/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811690480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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