| Detroit - Plymouth P.c, | |
|
20720 Plymouth Rd Detroit MI 48228-1275 | |
| (313) 273-3880 | |
| Not Available |
| Full Name | Detroit - Plymouth P.c, |
|---|---|
| Speciality | Dentist |
| Location | 20720 Plymouth Rd, Detroit, Michigan |
| Authorized Official Name and Position | Mike Cole (INSURANCE DIRECTOR) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit - Plymouth P.c, 20720 Plymouth Rd Detroit MI 48228-1275 Ph: () - | Detroit - Plymouth P.c, 20720 Plymouth Rd Detroit MI 48228-1275 Ph: (313) 273-3880 |
| NPI Number | 1831372556 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831372556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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