PRO DENTAL MI 1 PC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1457188955- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 21427 GRAND RIVER AVE STE 100, DETROIT, MI, 482193897
- Phone
- (313) 412-2100
- Fax
- (313) 766-7734
Specialties & Taxonomies
Dentist
Primary
Dentist, General Practice