| Extra Dental Pc | |
|
8170 23 Mile Rd Shelby Township MI 48316-4502 | |
| (847) 794-3355 | |
| Not Available |
| Full Name | Extra Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8170 23 Mile Rd, Shelby Township, Michigan |
| Authorized Official Name and Position | Lina Yaseen (DENTIST/OWNER) |
| Authorized Official Contact | 8477943355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extra Dental Pc 8170 23 Mile Rd Shelby Township MI 48316-4502 Ph: (847) 794-3355 | Extra Dental Pc 8170 23 Mile Rd Shelby Township MI 48316-4502 Ph: (847) 794-3355 |
| NPI Number | 1598400293 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598400293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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