| Detroit Oral Surgery Specialists Pllc | |
|
13874 Grand River Ave Detroit MI 48227-3123 | |
| (313) 834-4900 | |
| Not Available |
| Full Name | Detroit Oral Surgery Specialists Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 13874 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Alex Wolicki (ACCOUNTANT) |
| Authorized Official Contact | 5865588004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Oral Surgery Specialists Pllc 27201 Ryan Rd Warren MI 48092-5127 Ph: () - | Detroit Oral Surgery Specialists Pllc 13874 Grand River Ave Detroit MI 48227-3123 Ph: (313) 834-4900 |
| NPI Number | 1477395119 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477395119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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