| Michigan Center For Oral Surgery | |
|
22150 Allen Rd Suite 1 Woodhaven MI 48183-2271 | |
| (734) 675-1520 | |
| (734) 675-2118 |
| Full Name | Michigan Center For Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 22150 Allen Rd, Woodhaven, Michigan |
| Authorized Official Name and Position | Dexter Kurt Flemming (OWNER) |
| Authorized Official Contact | 7346751520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Center For Oral Surgery 22150 Allen Rd Suite 1 Woodhaven MI 48183-2271 Ph: (734) 675-1520 | Michigan Center For Oral Surgery 22150 Allen Rd Suite 1 Woodhaven MI 48183-2271 Ph: (734) 675-1520 |
| NPI Number | 1982937454 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982937454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901017976 (Michigan) | Primary |
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