| Visiting Dental Associates P.c. | |
|
20770 Kelly Rd Suite B Eastpointe MI 48021-3114 | |
| (586) 779-3333 | |
| Not Available |
| Full Name | Visiting Dental Associates P.c. |
|---|---|
| Speciality | Dentist |
| Location | 20770 Kelly Rd, Eastpointe, Michigan |
| Authorized Official Name and Position | Reginald Bernard Jewell (PRESIDENT) |
| Authorized Official Contact | 3135357770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Dental Associates P.c. 20770 Kelly Rd Suite B Eastpointe MI 48021-3114 Ph: (586) 779-3333 | Visiting Dental Associates P.c. 20770 Kelly Rd Suite B Eastpointe MI 48021-3114 Ph: (586) 779-3333 |
| NPI Number | 1306135413 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306135413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17336 (Michigan) | Primary |
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