| Northside Dental Pllc | |
|
132 Cole Rd Monroe MI 48162-4104 | |
| (734) 242-7120 | |
| Not Available |
| Full Name | Northside Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 132 Cole Rd, Monroe, Michigan |
| Authorized Official Name and Position | Heather M Runyon (OFFICE MANAGER) |
| Authorized Official Contact | 2483966696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Dental Pllc 132 Cole Rd Monroe MI 48162-4104 Ph: (248) 396-6696 | Northside Dental Pllc 132 Cole Rd Monroe MI 48162-4104 Ph: (734) 242-7120 |
| NPI Number | 1659844413 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659844413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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