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9541 Jos Campall Hamtramck Dental Center Hamtrack MI 48212 | |
(313) 972-4700 | |
(313) 972-1105 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 9541 Jos Campall, Hamtrack, Michigan |
Authorized Official Name and Position | Wilbert Purifoy (PRESIDENT OWNER) |
Authorized Official Contact | 3139724700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9541 Jos Campall Hamtrack MI 48212 Ph: (313) 972-4700 | 9541 Jos Campall Hamtramck Dental Center Hamtrack MI 48212 Ph: (313) 972-4700 |
NPI Number | 1508974387 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1508974387 | NPI | - | NPPES |
77875 | Other | AHMED ALLAN | |
10915 | Other | PURIFOY | |
17470 | Other | FRANK HARRIS | |
13106 | Other | PAUL ONEILL | |
2744290 | Medicaid | MI |