Professional Dental Alliance Of Romulus, Llc | |
37235 Goddard Rd Romulus MI 48174-1215 | |
(734) 941-0343 | |
Not Available |
Full Name | Professional Dental Alliance Of Romulus, Llc |
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Speciality | Dentist |
Location | 37235 Goddard Rd, Romulus, Michigan |
Authorized Official Name and Position | Annette Marlow (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 7246982119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Dental Alliance Of Romulus, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Romulus, Llc 37235 Goddard Rd Romulus MI 48174-1215 Ph: (734) 941-0343 |
NPI Number | 1467964700 |
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Provider Enumeration Date | 10/26/2017 |
Last Update Date | 10/26/2017 |
Identifier | Type | State | Issuer |
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1467964700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Romulus Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 37235 Goddard Rd, Romulus, MI 48174 Phone: 734-941-0343 Fax: 734-941-7694 | |
Ronald N Mizikow Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13727 S Huron River Dr, Romulus, MI 48174 Phone: 734-941-0010 Fax: 734-941-0010 |