| Michigan Gum Docs | |
|
18860 W 10 Mile Rd Southfield MI 48075-2666 | |
| (248) 327-1919 | |
| Not Available |
| Full Name | Michigan Gum Docs |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 18860 W 10 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Oleg Unpriced Krivichkin (DOCTOR) |
| Authorized Official Contact | 2483271919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Gum Docs 18860 W 10 Mile Rd Southfield MI 48075-2666 Ph: (248) 327-1919 | Michigan Gum Docs 18860 W 10 Mile Rd Southfield MI 48075-2666 Ph: (248) 327-1919 |
| NPI Number | 1659875144 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659875144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21098 (Michigan) | Primary |
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