| Detroit Dental Spa | |
|
2130 Trumbull St Detroit MI 48216-1344 | |
| (832) 419-7998 | |
| Not Available |
| Full Name | Detroit Dental Spa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2130 Trumbull St, Detroit, Michigan |
| Authorized Official Name and Position | Ban Nacy (OWNER/DENTIST) |
| Authorized Official Contact | 8324197998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Dental Spa 1117 Griswold St Unit 1414 Detroit MI 48226-1936 Ph: (832) 419-7998 | Detroit Dental Spa 2130 Trumbull St Detroit MI 48216-1344 Ph: (832) 419-7998 |
| NPI Number | 1366155202 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366155202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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