| Supreme Dental Pc | |
|
27201 Ryan Rd Warren MI 48092-5127 | |
| (586) 558-8004 | |
| Not Available |
| Full Name | Supreme Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 27201 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Michele Bloxson (PRESIDENT) |
| Authorized Official Contact | 3134166806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Dental Pc 27201 Ryan Rd Warren MI 48092-5127 Ph: () - | Supreme Dental Pc 27201 Ryan Rd Warren MI 48092-5127 Ph: (586) 558-8004 |
| NPI Number | 1891118352 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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