| Raymond A Fortson Jr & Associates Dds Pc | |
|
27445 Southfield Rd Lathrup Village MI 48076-3411 | |
| (248) 569-6722 | |
| Not Available |
| Full Name | Raymond A Fortson Jr & Associates Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 27445 Southfield Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Ralph Fortson (PRESIDENT) |
| Authorized Official Contact | 8134684672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond A Fortson Jr & Associates Dds Pc 27347 Southfield Rd Lathrup Village MI 48076-3408 Ph: () - | Raymond A Fortson Jr & Associates Dds Pc 27445 Southfield Rd Lathrup Village MI 48076-3411 Ph: (248) 569-6722 |
| NPI Number | 1831640135 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831640135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10042 (Florida) | Primary |
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