| Monoseta C. Burwell, D.m.d., P.c. | |
|
18951 W 12 Mile Rd Lathrup Village MI 48076-2575 | |
| (248) 353-4747 | |
| (248) 353-2297 |
| Full Name | Monoseta C. Burwell, D.m.d., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18951 W 12 Mile Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Monoseta Covington-burwell (PRESIDENT/DENTIST) |
| Authorized Official Contact | 2483534747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monoseta C. Burwell, D.m.d., P.c. 18951 W 12 Mile Rd Lathrup Village MI 48076-2575 Ph: (248) 353-4747 | Monoseta C. Burwell, D.m.d., P.c. 18951 W 12 Mile Rd Lathrup Village MI 48076-2575 Ph: (248) 353-4747 |
| NPI Number | 1760935993 |
|---|---|
| Provider Enumeration Date | 07/23/2016 |
| Last Update Date | 07/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760935993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901013087 (Michigan) | Primary |
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