| Executive Dentistry Dds Pc | |
|
23044 Cherry Hill St Dearborn MI 48124-1066 | |
| (313) 914-4440 | |
| Not Available |
| Full Name | Executive Dentistry Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 23044 Cherry Hill St, Dearborn, Michigan |
| Authorized Official Name and Position | Kalil A Abraham (OWNER) |
| Authorized Official Contact | 3139144440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Dentistry Dds Pc 23044 Cherry Hill St Dearborn MI 48124-1066 Ph: (313) 914-4440 | Executive Dentistry Dds Pc 23044 Cherry Hill St Dearborn MI 48124-1066 Ph: (313) 914-4440 |
| NPI Number | 1598007692 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598007692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18195 (Michigan) | Primary |
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