| St. Vincent De Paul Detroit Dental | |
|
3000 Gratiot Ave Detroit MI 48207-2372 | |
| (313) 942-5957 | |
| Not Available |
| Full Name | St. Vincent De Paul Detroit Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3000 Gratiot Ave, Detroit, Michigan |
| Authorized Official Name and Position | Nancy M Harmon (DENTAL DIRECTOR) |
| Authorized Official Contact | 3133933009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent De Paul Detroit Dental 3505 Harrison Ave Rochester Hills MI 48307-5633 Ph: (248) 765-4665 | St. Vincent De Paul Detroit Dental 3000 Gratiot Ave Detroit MI 48207-2372 Ph: (313) 942-5957 |
| NPI Number | 1437550514 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437550514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2902017311 (Michigan) | Primary |
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