| Community Dental Center Pllc | |
|
4000 Miller St Detroit MI 48211-1555 | |
| (313) 539-2209 | |
| Not Available |
| Full Name | Community Dental Center Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4000 Miller St, Detroit, Michigan |
| Authorized Official Name and Position | Nigeeb Obeid (OWNER) |
| Authorized Official Contact | 3134633263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Center Pllc 4000 Miller St Detroit MI 48211-1555 Ph: (313) 539-2209 | Community Dental Center Pllc 4000 Miller St Detroit MI 48211-1555 Ph: (313) 539-2209 |
| NPI Number | 1073852091 |
|---|---|
| Provider Enumeration Date | 02/11/2013 |
| Last Update Date | 02/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073852091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7236A (Michigan) | Primary |
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