| Pedo Ortho Of Michigan Pllc | |
|
18860 W 10 Mile Rd Southfield MI 48075-2666 | |
| (248) 965-4722 | |
| Not Available |
| Full Name | Pedo Ortho Of Michigan Pllc |
|---|---|
| Speciality | Dentist |
| Location | 18860 W 10 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Michael Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedo Ortho Of Michigan Pllc 18860 W 10 Mile Rd Southfield MI 48075-2666 Ph: () - | Pedo Ortho Of Michigan Pllc 18860 W 10 Mile Rd Southfield MI 48075-2666 Ph: (248) 965-4722 |
| NPI Number | 1144973371 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144973371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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