| Redford Dental Group | |
|
15148 Beech Daly Rd Redford MI 48239-3202 | |
| (313) 533-3300 | |
| Not Available |
| Full Name | Redford Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 15148 Beech Daly Rd, Redford, Michigan |
| Authorized Official Name and Position | Zeena J. Kazangy (PRESIDENT) |
| Authorized Official Contact | 3135353300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redford Dental Group 15148 Beech Daly Rd Redford MI 48239-3202 Ph: (313) 533-3300 | Redford Dental Group 15148 Beech Daly Rd Redford MI 48239-3202 Ph: (313) 533-3300 |
| NPI Number | 1578752937 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578752937 | NPI | - | NPPES |
| 4275600 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16348 (Michigan) | Primary |
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