| Gd Mi J&g-dearborn Pllc | |
|
4700 Schaefer Rd Ste 190 Dearborn MI 48126-3655 | |
| (313) 945-8900 | |
| Not Available |
| Full Name | Gd Mi J&g-dearborn Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4700 Schaefer Rd Ste 190, Dearborn, Michigan |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Mi J&g-dearborn Pllc 4700 Schaefer Rd Ste 190 Dearborn MI 48126-3655 Ph: () - | Gd Mi J&g-dearborn Pllc 4700 Schaefer Rd Ste 190 Dearborn MI 48126-3655 Ph: (313) 945-8900 |
| NPI Number | 1669181517 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669181517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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