| Detroit Dental Specialist, Pc | |
|
15510 Livernois Detroit MI 48238 | |
| (313) 863-2800 | |
| Not Available |
| Full Name | Detroit Dental Specialist, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15510 Livernois, Detroit, Michigan |
| Authorized Official Name and Position | George Stec (PRESIDENT) |
| Authorized Official Contact | 3138632800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Dental Specialist, Pc Po Box 38367 Detroit MI 48238 Ph: (313) 863-2800 | Detroit Dental Specialist, Pc 15510 Livernois Detroit MI 48238 Ph: (313) 863-2800 |
| NPI Number | 1649576299 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649576299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018887 (Michigan) | Primary |
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