| Kid's First Pediatric Dentistry Pc | |
|
3778 Dix Hwy Lincoln Park MI 48146-3807 | |
| (313) 386-0570 | |
| Not Available |
| Full Name | Kid's First Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3778 Dix Hwy, Lincoln Park, Michigan |
| Authorized Official Name and Position | Caitlin Corum (ASSISTANT/FRONT DESK) |
| Authorized Official Contact | 3133860570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid's First Pediatric Dentistry Pc 3778 Dix Hwy Lincoln Park MI 48146-3807 Ph: (313) 386-0570 | Kid's First Pediatric Dentistry Pc 3778 Dix Hwy Lincoln Park MI 48146-3807 Ph: (313) 386-0570 |
| NPI Number | 1710495874 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 09/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710495874 | NPI | - | NPPES |
| VS0034738 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901022062 (Michigan) | Primary |
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