Eastland Family Dentistry | |
16068 E 8 Mile Rd Detroit MI 48205-1416 | |
(313) 372-8580 | |
(313) 372-7739 |
Full Name | Eastland Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 16068 E 8 Mile Rd, Detroit, Michigan |
Authorized Official Name and Position | Fadi G Keyorkgy (CEO) |
Authorized Official Contact | 3133728580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eastland Family Dentistry 16068 E 8 Mile Rd Detroit MI 48205-1416 Ph: (313) 372-8580 | Eastland Family Dentistry 16068 E 8 Mile Rd Detroit MI 48205-1416 Ph: (313) 372-8580 |
NPI Number | 1285880872 |
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Provider Enumeration Date | 08/14/2008 |
Last Update Date | 08/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285880872 | NPI | - | NPPES |
3369505 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 16598 (Michigan) | Primary |
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