Ecorse Dental | |
4225 W Jefferson Ave Ecorse MI 48229-1529 | |
(313) 381-7770 | |
(313) 381-7722 |
Full Name | Ecorse Dental |
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Speciality | Dentist - General Practice |
Location | 4225 W Jefferson Ave, Ecorse, Michigan |
Authorized Official Name and Position | Mirza M Baig (PRESIDENT) |
Authorized Official Contact | 2487555700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ecorse Dental 23800 Orchard Lake Rd Ste. 106 Farmington Hills MI 48336-2560 Ph: (248) 755-5700 | Ecorse Dental 4225 W Jefferson Ave Ecorse MI 48229-1529 Ph: (313) 381-7770 |
NPI Number | 1629120290 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1629120290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901017489 (Michigan) | Primary |