| Rainbow Dental Ddspc | |
|
11451 Joseph Campau St Hamtramck MI 48212-3040 | |
| (313) 365-4870 | |
| Not Available |
| Full Name | Rainbow Dental Ddspc |
|---|---|
| Speciality | Dentist |
| Location | 11451 Joseph Campau St, Hamtramck, Michigan |
| Authorized Official Name and Position | Joseph Odeesh (PRESIDENT) |
| Authorized Official Contact | 3133654870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Dental Ddspc 11451 Joseph Campau St Hamtramck MI 48212-3040 Ph: (313) 365-4870 | Rainbow Dental Ddspc 11451 Joseph Campau St Hamtramck MI 48212-3040 Ph: (313) 365-4870 |
| NPI Number | 1508248147 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508248147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16825 (Michigan) | Primary |
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