| Fifth Street Dental Care Pllc | |
|
8048 5th St Dexter MI 48130-1033 | |
| (734) 426-2220 | |
| (734) 426-4480 |
| Full Name | Fifth Street Dental Care Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8048 5th St, Dexter, Michigan |
| Authorized Official Name and Position | Doni R Mallia (DENTIST) |
| Authorized Official Contact | 7344262220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fifth Street Dental Care Pllc 8048 5th St Dexter MI 48130-1033 Ph: (734) 426-2220 | Fifth Street Dental Care Pllc 8048 5th St Dexter MI 48130-1033 Ph: (734) 426-2220 |
| NPI Number | 1356732309 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356732309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901017984 (Michigan) | Primary |
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