| Your Family Dentist Pc | |
|
28245 Southfield Rd Lathrup Village MI 48076-2863 | |
| (248) 423-9000 | |
| (248) 423-9020 |
| Full Name | Your Family Dentist Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28245 Southfield Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Paula Gene Carson (OWNER) |
| Authorized Official Contact | 2484239000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Dentist Pc 28245 Southfield Rd Lathrup Village MI 48076-2863 Ph: (248) 423-9000 | Your Family Dentist Pc 28245 Southfield Rd Lathrup Village MI 48076-2863 Ph: (248) 423-9000 |
| NPI Number | 1366635146 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366635146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901015644 (Michigan) | Primary |
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