| Lakewood Dental Group Iii | |
|
15846 Michigan Ave Dearborn MI 48126 | |
| (313) 581-1864 | |
| (313) 581-1646 |
| Full Name | Lakewood Dental Group Iii |
|---|---|
| Speciality | Dentist |
| Location | 15846 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Ramzi A Atoui (PRESIDENT) |
| Authorized Official Contact | 3135811864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Group Iii 15846 Michigan Ave Dearborn MI 48126 Ph: (313) 581-1864 | Lakewood Dental Group Iii 15846 Michigan Ave Dearborn MI 48126 Ph: (313) 581-1864 |
| NPI Number | 1427160969 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427160969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 016915 (Michigan) | Primary |
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