Supreme Dental Care, Plc | |
25150 Ford Rd Suite 220 Dearborn Heights MI 48127-3115 | |
(313) 908-1430 | |
(313) 406-5068 |
Full Name | Supreme Dental Care, Plc |
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Speciality | Dentist |
Location | 25150 Ford Rd, Dearborn Heights, Michigan |
Authorized Official Name and Position | Amal A Aoun (OWNER) |
Authorized Official Contact | 3139081430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Supreme Dental Care, Plc 25150 Ford Rd Suite 220 Dearborn Heights MI 48127-3115 Ph: (313) 908-1430 | Supreme Dental Care, Plc 25150 Ford Rd Suite 220 Dearborn Heights MI 48127-3115 Ph: (313) 908-1430 |
NPI Number | 1144641572 |
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Provider Enumeration Date | 01/03/2014 |
Last Update Date | 01/14/2014 |
Identifier | Type | State | Issuer |
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1144641572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901019596 (Michigan) | Primary |
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