| Grace Dental Care Llc | |
|
30825 John R Rd Madison Heights MI 48071 | |
| (248) 588-8966 | |
| (248) 577-0073 |
| Full Name | Grace Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 30825 John R Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Betty Lee Nguyen (DENTIST OWNER) |
| Authorized Official Contact | 2485888966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental Care Llc 30825 John R Rd Madison Heights MI 48071 Ph: (248) 588-8966 | Grace Dental Care Llc 30825 John R Rd Madison Heights MI 48071 Ph: (248) 588-8966 |
| NPI Number | 1699808477 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699808477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901017954 (Michigan) | Primary |
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