| Special Dental Pc | |
|
27201 Ryan Rd Warren MI 48092 | |
| (586) 558-8004 | |
| Not Available |
| Full Name | Special Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 27201 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Tina Wilder (REG MANAGER) |
| Authorized Official Contact | 3133421997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Dental Pc 27201 Ryan Rd Warren MI 48092-5127 Ph: (586) 558-8004 | Special Dental Pc 27201 Ryan Rd Warren MI 48092 Ph: (586) 558-8004 |
| NPI Number | 1083016711 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083016711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901012438 (Michigan) | Primary |
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