| Modern Dental Center | |
|
50810 Romeo Plank Rd Macomb MI 48044-1123 | |
| (734) 644-7815 | |
| Not Available |
| Full Name | Modern Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 50810 Romeo Plank Rd, Macomb, Michigan |
| Authorized Official Name and Position | Maha Zetouna (PRESIDENT) |
| Authorized Official Contact | 7346447815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Center 50810 Romeo Plank Rd Macomb MI 48044-1123 Ph: (734) 644-7815 | Modern Dental Center 50810 Romeo Plank Rd Macomb MI 48044-1123 Ph: (734) 644-7815 |
| NPI Number | 1346632122 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346632122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16908 (Michigan) | Primary |
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