| Fill Good Dental Care Inc | |
|
18595 Grand River Ave Detroit MI 48223 | |
| (313) 837-3000 | |
| (313) 838-4581 |
| Full Name | Fill Good Dental Care Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18595 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Lawrence Wendell Stewart (DDS/OWNER) |
| Authorized Official Contact | 3138373000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fill Good Dental Care Inc 18595 Grand River Ave Detroit MI 48223 Ph: (313) 837-3000 | Fill Good Dental Care Inc 18595 Grand River Ave Detroit MI 48223 Ph: (313) 837-3000 |
| NPI Number | 1417428780 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417428780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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