| Metropolitan Dental Center Of Waterford Pc | |
|
4664 W Walton Waterford MI 48329 | |
| (248) 674-0418 | |
| (248) 674-4518 |
| Full Name | Metropolitan Dental Center Of Waterford Pc |
|---|---|
| Speciality | Dentist |
| Location | 4664 W Walton, Waterford, Michigan |
| Authorized Official Name and Position | Jeffrey S Ingber (OWNER) |
| Authorized Official Contact | 2486740418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Dental Center Of Waterford Pc 4664 W Walton Waterford MI 48329 Ph: (248) 674-0418 | Metropolitan Dental Center Of Waterford Pc 4664 W Walton Waterford MI 48329 Ph: (248) 674-0418 |
| NPI Number | 1790851970 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 7810058658 |
|---|---|
| Medicare Enrollment ID | O20081211000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790851970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Monish Bhola |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679584015 PECOS PAC ID: 3971667254 Enrollment ID: I20090202000063 |
| Provider Name | Jeffrey S Ingber |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881767200 PECOS PAC ID: 5890856637 Enrollment ID: I20110603000084 |
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