| Renewal Family Dental Pllc | |
|
22190 Garrison St Ste 201 Dearborn MI 48124-2235 | |
| (313) 277-8900 | |
| Not Available |
| Full Name | Renewal Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22190 Garrison St Ste 201, Dearborn, Michigan |
| Authorized Official Name and Position | Sabah Lillian Gagnon-saleeby (DENTIST) |
| Authorized Official Contact | 3132132505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Family Dental Pllc 600 Ridgemont Ave Dearborn MI 48124-1221 Ph: (313) 213-2505 | Renewal Family Dental Pllc 22190 Garrison St Ste 201 Dearborn MI 48124-2235 Ph: (313) 277-8900 |
| NPI Number | 1497347686 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497347686 | NPI | - | NPPES |
| 1982087953 | Other | MI | OWNER OF PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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