| Pediatric Dentistry | |
|
45535 Hanford Rd Canton MI 48187-4595 | |
| (734) 254-0786 | |
| (734) 254-0861 |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 45535 Hanford Rd, Canton, Michigan |
| Authorized Official Name and Position | Farah Khan (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7362540786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry 45535 Hanford Rd Canton MI 48187-4595 Ph: (734) 254-0786 | Pediatric Dentistry 45535 Hanford Rd Canton MI 48187-4595 Ph: (734) 254-0786 |
| NPI Number | 1518527191 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518527191 | NPI | - | NPPES |
| 1548369291 | Other | MI | NATIONAL PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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