| West Grand Dental, Pllc | |
|
2617 W Grand Blvd Detroit MI 48208-1234 | |
| (313) 875-3440 | |
| (313) 875-0521 |
| Full Name | West Grand Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2617 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Delores Campbell (MANAGER) |
| Authorized Official Contact | 3134076291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Grand Dental, Pllc 2617 W Grand Blvd Detroit MI 48208-1234 Ph: (313) 875-3440 | West Grand Dental, Pllc 2617 W Grand Blvd Detroit MI 48208-1234 Ph: (313) 875-3440 |
| NPI Number | 1689813487 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689813487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15814 (Michigan) | Primary |
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