| Prosthodontic & Implant Consultants Pc | |
|
6177 Orchard Lake Road Suite #120 West Bloomfield MI 48322 | |
| (248) 855-6655 | |
| (248) 855-0803 |
| Full Name | Prosthodontic & Implant Consultants Pc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 6177 Orchard Lake Road, West Bloomfield, Michigan |
| Authorized Official Name and Position | Jonathan P. Weins (OWNER) |
| Authorized Official Contact | 2488556655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosthodontic & Implant Consultants Pc 6177 Orchard Lake Road Suite #120 West Bloomfield MI 48322 Ph: (248) 855-6655 | Prosthodontic & Implant Consultants Pc 6177 Orchard Lake Road Suite #120 West Bloomfield MI 48322 Ph: (248) 855-6655 |
| NPI Number | 1972794352 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972794352 | NPI | - | NPPES |
| 2758821 | Medicaid | MI | |
| 3239144 | Medicaid | MI |
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