| Creative Dental Center Pc | |
|
28225 Hoover Rd Warren MI 48093-5436 | |
| (586) 751-6617 | |
| (586) 751-6264 |
| Full Name | Creative Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28225 Hoover Rd, Warren, Michigan |
| Authorized Official Name and Position | Mark A Kohn (OWNER) |
| Authorized Official Contact | 5867516617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dental Center Pc 28225 Hoover Rd Warren MI 48093-5436 Ph: (586) 751-6617 | Creative Dental Center Pc 28225 Hoover Rd Warren MI 48093-5436 Ph: (586) 751-6617 |
| NPI Number | 1740558139 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740558139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015192 (Michigan) | Primary |
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