Destiny Dental | |
14736 Mack Ave Detroit MI 48215-2524 | |
(313) 412-2100 | |
Not Available |
Full Name | Destiny Dental |
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Speciality | Dentist - General Practice |
Location | 14736 Mack 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 |
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Destiny Dental 137 N Oak Park Ave Ste 310 Oak Park IL 60301-1339 Ph: () - | Destiny Dental 14736 Mack Ave Detroit MI 48215-2524 Ph: (313) 412-2100 |
NPI Number | 1437671799 |
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Provider Enumeration Date | 07/08/2017 |
Last Update Date | 07/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437671799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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