| St.george Family Dentistry P.c | |
|
10470 W 9 Mile Rd Oak Park MI 48237-2914 | |
| (248) 548-2210 | |
| (248) 548-1769 |
| Full Name | St.george Family Dentistry P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10470 W 9 Mile Rd, Oak Park, Michigan |
| Authorized Official Name and Position | Alaa K Hermiz (DENTIST) |
| Authorized Official Contact | 2485482210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St.george Family Dentistry P.c 10470 W 9 Mile Rd Oak Park MI 48237-2914 Ph: (248) 548-2210 | St.george Family Dentistry P.c 10470 W 9 Mile Rd Oak Park MI 48237-2914 Ph: (248) 548-2210 |
| NPI Number | 1023261617 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023261617 | NPI | - | NPPES |
| 4547942 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018305 (Illinois) | Primary |
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