| Detroit Dental Company | |
|
1665 W 12 Mile Rd Berkley MI 48072-2121 | |
| (248) 547-7700 | |
| (248) 547-6054 |
| Full Name | Detroit Dental Company |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1665 W 12 Mile Rd, Berkley, Michigan |
| Authorized Official Name and Position | Ashley Cirilli (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2485477700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Dental Company 1665 W 12 Mile Rd Berkley MI 48072-2121 Ph: (248) 547-7700 | Detroit Dental Company 1665 W 12 Mile Rd Berkley MI 48072-2121 Ph: (248) 547-7700 |
| NPI Number | 1306462577 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306462577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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