| Eastside Family Dentistry | |
|
48926 Schoenherr Rd. Shelby Township MI 48315 | |
| (586) 566-5660 | |
| Not Available |
| Full Name | Eastside Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 48926 Schoenherr Rd., Shelby Township, Michigan |
| Authorized Official Name and Position | Fadi George Keyorkgy (OWNER) |
| Authorized Official Contact | 5865665660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Family Dentistry 48926 Schoenherr Rd. Shelby Township MI 48315 Ph: (586) 566-5660 | Eastside Family Dentistry 48926 Schoenherr Rd. Shelby Township MI 48315 Ph: (586) 566-5660 |
| NPI Number | 1649595232 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 04/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649595232 | NPI | - | NPPES |
| 3369505 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901016598 (Michigan) | Primary |
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