| Preventative Dental Pc | |
|
15510 Livernois Ave Detroit MI 48238-1343 | |
| (313) 863-2800 | |
| Not Available |
| Full Name | Preventative Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 15510 Livernois Ave, Detroit, Michigan |
| Authorized Official Name and Position | Pamela L Hyde (OFFICE MANAGER) |
| Authorized Official Contact | 3138632800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventative Dental Pc Po Box 38367 Detroit MI 48238-0367 Ph: (313) 863-2800 | Preventative Dental Pc 15510 Livernois Ave Detroit MI 48238-1343 Ph: (313) 863-2800 |
| NPI Number | 1619316569 |
|---|---|
| Provider Enumeration Date | 06/24/2013 |
| Last Update Date | 06/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619316569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Michigan) | Primary |
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