| Evergreen Dental Care | |
|
24450 Evergreen Rd Suite 101 Southfield MI 48075-5518 | |
| (248) 855-1855 | |
| Not Available |
| Full Name | Evergreen Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24450 Evergreen Rd, Southfield, Michigan |
| Authorized Official Name and Position | Shakib Halabu (OWNER) |
| Authorized Official Contact | 2488551855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Dental Care 24450 Evergreen Rd Suite 101 Southfield MI 48075-5518 Ph: () - | Evergreen Dental Care 24450 Evergreen Rd Suite 101 Southfield MI 48075-5518 Ph: (248) 855-1855 |
| NPI Number | 1588006837 |
|---|---|
| Provider Enumeration Date | 07/26/2013 |
| Last Update Date | 07/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588006837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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