| Gray Family Dental | |
|
12871 E Jefferson Ave Ste. C Detroit MI 48215-2754 | |
| (313) 822-4200 | |
| (313) 822-0944 |
| Full Name | Gray Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12871 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | Mirza M Baig (PRESIDENT) |
| Authorized Official Contact | 2487555700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Family Dental 23800 Orchard Lake Rd Ste. 106 Farmington Hills MI 48336-2560 Ph: (248) 755-5700 | Gray Family Dental 12871 E Jefferson Ave Ste. C Detroit MI 48215-2754 Ph: (313) 822-4200 |
| NPI Number | 1710039383 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710039383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901017489 (Michigan) | Primary |
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