Southfield Family Dental Center Pllc | |
18800 W 10 Mile Rd Southfield MI 48075-2654 | |
(248) 569-6304 | |
Not Available |
Full Name | Southfield Family Dental Center Pllc |
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Speciality | Dentist - General Practice |
Location | 18800 W 10 Mile Rd, Southfield, Michigan |
Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
Authorized Official Contact | 6128590444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southfield Family Dental Center Pllc 18800 W 10 Mile Rd Southfield MI 48075-2654 Ph: (248) 569-6304 | Southfield Family Dental Center Pllc 18800 W 10 Mile Rd Southfield MI 48075-2654 Ph: (248) 569-6304 |
NPI Number | 1639812050 |
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Provider Enumeration Date | 04/14/2022 |
Last Update Date | 04/14/2022 |
Identifier | Type | State | Issuer |
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1639812050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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