| Southfield Kids Dentist Plc | |
|
18900 W 10 Mile Rd Southfield MI 48075-2669 | |
| (248) 565-3332 | |
| Not Available |
| Full Name | Southfield Kids Dentist Plc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18900 W 10 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Ifechide Nwabueze (MANAGER) |
| Authorized Official Contact | 2482177997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfield Kids Dentist Plc 18900 W 10 Mile Rd Southfield MI 48075-2669 Ph: (248) 565-3332 | Southfield Kids Dentist Plc 18900 W 10 Mile Rd Southfield MI 48075-2669 Ph: (248) 565-3332 |
| NPI Number | 1093264731 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093264731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901020260 (Michigan) | Primary |
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