| Hamtramck Dental Center | |
|
3120 Carpenter St Suite 109 Hamtramck MI 48212-9802 | |
| (313) 369-3385 | |
| (313) 368-0275 |
| Full Name | Hamtramck Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3120 Carpenter St, Hamtramck, Michigan |
| Authorized Official Name and Position | Thair Stipho (DENTIST) |
| Authorized Official Contact | 3133693385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamtramck Dental Center 3120 Carpenter St Suite 109 Hamtramck MI 48212-9802 Ph: (313) 369-3385 | Hamtramck Dental Center 3120 Carpenter St Suite 109 Hamtramck MI 48212-9802 Ph: (313) 369-3385 |
| NPI Number | 1588839013 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588839013 | NPI | - | NPPES |
| 124275708 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 017478 (Michigan) | Primary |
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