| Diane I Hines Dds Pc | |
|
21500 W 11 Mile Rd Southfield MI 48076-3843 | |
| (248) 358-4000 | |
| (248) 358-3190 |
| Full Name | Diane I Hines Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21500 W 11 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Diane Ingram Hines (DENTIST) |
| Authorized Official Contact | 3132075945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane I Hines Dds Pc 21500 W 11 Mile Rd Southfield MI 48076-3843 Ph: (248) 358-4000 | Diane I Hines Dds Pc 21500 W 11 Mile Rd Southfield MI 48076-3843 Ph: (248) 358-4000 |
| NPI Number | 1730797556 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730797556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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