| Fortson Dental Oak Park P.c. | |
|
13741 W 11 Mile Rd Oak Park MI 48237-6926 | |
| (248) 398-5400 | |
| (248) 398-4752 |
| Full Name | Fortson Dental Oak Park P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13741 W 11 Mile Rd, Oak Park, Michigan |
| Authorized Official Name and Position | Jamie Soli (OFFICE MANAGER) |
| Authorized Official Contact | 2483985400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortson Dental Oak Park P.c. 13741 W 11 Mile Rd Oak Park MI 48237-6926 Ph: () - | Fortson Dental Oak Park P.c. 13741 W 11 Mile Rd Oak Park MI 48237-6926 Ph: (248) 398-5400 |
| NPI Number | 1336610633 |
|---|---|
| Provider Enumeration Date | 12/12/2018 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336610633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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