| Professional Dental Alliance Of Woodhaven, Llc | |
|
22319 King Rd Woodhaven MI 48183-1075 | |
| (734) 676-7122 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Woodhaven, Llc |
|---|---|
| Speciality | Dentist |
| Location | 22319 King Rd, Woodhaven, Michigan |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Woodhaven, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Woodhaven, Llc 22319 King Rd Woodhaven MI 48183-1075 Ph: (734) 676-7122 |
| NPI Number | 1710458799 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710458799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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