| Childrens Dental Specialists Of Hazel Park Pllc | |
|
22241 John R Rd Hazel Park MI 48030-1716 | |
| (248) 336-0356 | |
| (248) 336-0357 |
| Full Name | Childrens Dental Specialists Of Hazel Park Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 22241 John R Rd, Hazel Park, Michigan |
| Authorized Official Name and Position | Ifechide Nwabueze (PRESIDENT) |
| Authorized Official Contact | 2483360356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Specialists Of Hazel Park Pllc 22241 John R Rd Hazel Park MI 48030-1716 Ph: (248) 336-0356 | Childrens Dental Specialists Of Hazel Park Pllc 22241 John R Rd Hazel Park MI 48030-1716 Ph: (248) 336-0356 |
| NPI Number | 1780143982 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780143982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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