| Dearborn Dental Group West | |
|
25245 Ford Rd Dearborn MI 48128-1050 | |
| (313) 584-3210 | |
| Not Available |
| Full Name | Dearborn Dental Group West |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25245 Ford Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Dalal Elachi (MANAGER) |
| Authorized Official Contact | 3135843210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearborn Dental Group West 25245 Ford Rd Dearborn MI 48128-1050 Ph: (313) 584-3210 | Dearborn Dental Group West 25245 Ford Rd Dearborn MI 48128-1050 Ph: (313) 584-3210 |
| NPI Number | 1790349058 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790349058 | NPI | - | NPPES |
| 1255577409 | Other | MI | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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