| Great Lakes Pediatric Dentistry Pllc | |
|
701 S Main St Clawson MI 48017-2017 | |
| (248) 915-0159 | |
| Not Available |
| Full Name | Great Lakes Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 701 S Main St, Clawson, Michigan |
| Authorized Official Name and Position | Kareem Rabaa (DENTIST) |
| Authorized Official Contact | 2489150159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Pediatric Dentistry Pllc 1221 Bowers St Unit 229 Birmingham MI 48012-7117 Ph: () - | Great Lakes Pediatric Dentistry Pllc 701 S Main St Clawson MI 48017-2017 Ph: (248) 915-0159 |
| NPI Number | 1235821620 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235821620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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