| Gd Mi Mgd Pllc | |
|
18860 W 10 Mile Rd Southfield MI 48075-2666 | |
| (248) 327-1919 | |
| Not Available |
| Full Name | Gd Mi Mgd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18860 W 10 Mile Rd, Southfield, 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 Mgd Pllc 18860 W 10 Mile Rd Southfield MI 48075-2666 Ph: (248) 327-1919 | Gd Mi Mgd Pllc 18860 W 10 Mile Rd Southfield MI 48075-2666 Ph: (248) 327-1919 |
| NPI Number | 1750029781 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750029781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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