| District Dental Center | |
|
15064 Houston Whittier St Detroit MI 48205-4127 | |
| (313) 535-5200 | |
| (313) 535-0011 |
| Full Name | District Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15064 Houston Whittier St, Detroit, Michigan |
| Authorized Official Name and Position | Mavis D Phillips (OFFICE MANAGER) |
| Authorized Official Contact | 3135355200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| District Dental Center 15064 Houston Whittier St Detroit MI 48205-4127 Ph: (313) 535-5200 | District Dental Center 15064 Houston Whittier St Detroit MI 48205-4127 Ph: (313) 535-5200 |
| NPI Number | 1376879742 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376879742 | NPI | - | NPPES |
| 1908675 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901014040 (Michigan) | Primary |
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