| Gagoh Family Dental | |
|
24450 Evergreen Rd Suite 101 Southfield MI 48075-5518 | |
| (248) 350-3366 | |
| (248) 350-0457 |
| Full Name | Gagoh Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24450 Evergreen Rd, Southfield, Michigan |
| Authorized Official Name and Position | Oscar K Gagoh (OWNER) |
| Authorized Official Contact | 2483503366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gagoh Family Dental 24450 Evergreen Rd Suite 101 Southfield MI 48075-5518 Ph: (248) 350-3366 | Gagoh Family Dental 24450 Evergreen Rd Suite 101 Southfield MI 48075-5518 Ph: (248) 350-3366 |
| NPI Number | 1073835120 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073835120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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