| Community Dentistry Plus,p,c | |
|
18161 W 12 Mile Rd Suit 2 Lathrup Village MI 48076-2662 | |
| (248) 790-3738 | |
| (248) 552-3777 |
| Full Name | Community Dentistry Plus,p,c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18161 W 12 Mile Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Khayri Kassab (OWNER DENTIST) |
| Authorized Official Contact | 2487903738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dentistry Plus,p,c 30480 Shoreham St Southfield MI 48076-5368 Ph: (248) 790-3738 | Community Dentistry Plus,p,c 18161 W 12 Mile Rd Suit 2 Lathrup Village MI 48076-2662 Ph: (248) 790-3738 |
| NPI Number | 1689798530 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689798530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29010109220 (Michigan) | Primary |
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