| Edward G Kroll,dds And Associates, Pc | |
|
3704 E 8 Mile Rd Detroit MI 48234-1007 | |
| (313) 891-8088 | |
| (313) 891-8333 |
| Full Name | Edward G Kroll,dds And Associates, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3704 E 8 Mile Rd, Detroit, Michigan |
| Authorized Official Name and Position | Edward G Kroll (PESIDENT) |
| Authorized Official Contact | 3138918088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward G Kroll,dds And Associates, Pc 3704 E 8 Mile Rd Detroit MI 48234-1007 Ph: (313) 891-8088 | Edward G Kroll,dds And Associates, Pc 3704 E 8 Mile Rd Detroit MI 48234-1007 Ph: (313) 891-8088 |
| NPI Number | 1972516615 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972516615 | NPI | - | NPPES |
| 4015745 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8536 (Michigan) | Primary |
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