| D2 Dental Of Michigan, P.c. | |
|
21427 Grand River Ave Suite 100 Detroit MI 48219-3896 | |
| (586) 393-5686 | |
| Not Available |
| Full Name | D2 Dental Of Michigan, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21427 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Boris Labinov (AGENT) |
| Authorized Official Contact | 7086134542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D2 Dental Of Michigan, P.c. 137 N Oak Park Ave Suite 310 Oak Park IL 60301-1344 Ph: () - | D2 Dental Of Michigan, P.c. 21427 Grand River Ave Suite 100 Detroit MI 48219-3896 Ph: (586) 393-5686 |
| NPI Number | 1073045985 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073045985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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