| David Grachek, Jr.,dds | |
|
13745 Northline Rd Southgate MI 48195-1866 | |
| (734) 284-9873 | |
| (734) 284-4161 |
| Full Name | David Grachek, Jr.,dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13745 Northline Rd, Southgate, Michigan |
| Authorized Official Name and Position | Odilia Arias (ADMINISTRATIVE) |
| Authorized Official Contact | 7342849873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Grachek, Jr.,dds 13745 Northline Rd Southgate MI 48195-1866 Ph: (734) 284-9873 | David Grachek, Jr.,dds 13745 Northline Rd Southgate MI 48195-1866 Ph: (734) 284-9873 |
| NPI Number | 1891325239 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891325239 | NPI | - | NPPES |
| 1265591531 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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