Family Dentistry | |
10326 W Warren Ave Suite 2 Dearborn MI 48126-1659 | |
(313) 581-0717 | |
(313) 581-3590 |
Full Name | Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 10326 W Warren Ave, Dearborn, Michigan |
Authorized Official Name and Position | Mohammed W Imam (OWNER) |
Authorized Official Contact | 3135810710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dentistry 10326 W Warren Ave Suite 2 Dearborn MI 48126-1659 Ph: (313) 581-0717 | Family Dentistry 10326 W Warren Ave Suite 2 Dearborn MI 48126-1659 Ph: (313) 581-0717 |
NPI Number | 1497928493 |
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Provider Enumeration Date | 04/10/2008 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497928493 | NPI | - | NPPES |
1649320722 | Other | MI | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2901015608 (Michigan) | Primary |
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