Facial Beauty Dental, Pllc | |
3255 W Maple Rd Wixom MI 48393-4585 | |
(248) 669-4141 | |
Not Available |
Full Name | Facial Beauty Dental, Pllc |
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Speciality | Dentist - General Practice |
Location | 3255 W Maple Rd, Wixom, Michigan |
Authorized Official Name and Position | Gordon Phillip Smith (OWNER) |
Authorized Official Contact | 2486694141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Facial Beauty Dental, Pllc 3255 W Maple Rd Wixom MI 48393-4585 Ph: (248) 669-4141 | Facial Beauty Dental, Pllc 3255 W Maple Rd Wixom MI 48393-4585 Ph: (248) 669-4141 |
NPI Number | 1063804334 |
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Provider Enumeration Date | 02/24/2015 |
Last Update Date | 02/24/2015 |
Identifier | Type | State | Issuer |
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1063804334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2901013824 (Michigan) | Primary |
Wixom Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49175 Pontiac Trl, Wixom, MI 48393 Phone: 248-859-5300 |