Organization

Detroit Dental Center, Pc

Dentist in Detroit, MI(View on Map)

Legal Business Name

Detroit Dental Center, Pc

NPI Number

1518344084

NPI Type

Organization

Enumeration Date

05/04/2015

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

2901015613

Contact
Information

Purpose

Mailing
Location

Address

15510 LIVERNOIS AVE
15510 LIVERNOIS AVE

City

Detroit
Detroit

State

MI
MI

Postal Code

48238-1343
48238-1343

Country

US
US

Telephone Number

(313) 863-2800
(313) 863-2800

Authorized Official

Name

David Johnson

Title or Position

OWNER

Telephone Number

(313) 863-2800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/04/2015

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