Lakewood Dental Group Iii | |
19451 W Warren Ave Detroit MI 48228 | |
(313) 271-1800 | |
Not Available |
Full Name | Lakewood Dental Group Iii |
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Speciality | Dentist |
Location | 19451 W Warren Ave, Detroit, Michigan |
Authorized Official Name and Position | Ramzi A Atoui (PRESIDENT) |
Authorized Official Contact | 3132711800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakewood Dental Group Iii 19451 W Warren Ave Detroit MI 48228 Ph: (313) 271-1800 | Lakewood Dental Group Iii 19451 W Warren Ave Detroit MI 48228 Ph: (313) 271-1800 |
NPI Number | 1063552313 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063552313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 016915 (Michigan) | Primary |
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