| Detroit Root Canal Specialists, Pc | |
|
15510 Livernois Detroit MI 48238 | |
| (313) 863-2800 | |
| (313) 341-7867 |
| Full Name | Detroit Root Canal Specialists, Pc |
|---|---|
| Speciality | Dentist |
| Location | 15510 Livernois, Detroit, Michigan |
| Authorized Official Name and Position | Donna Marie Kirchner (INSURANCE MANAGER) |
| Authorized Official Contact | 5869150107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Root Canal Specialists, Pc 15510 Livernois Detroit MI 48238 Ph: (313) 863-2800 | Detroit Root Canal Specialists, Pc 15510 Livernois Detroit MI 48238 Ph: (313) 863-2800 |
| NPI Number | 1942605209 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942605209 | NPI | - | NPPES |
| 2901020626 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901020626 (Michigan) | Primary |
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