Odicare Pc
Dentist in Detroit, MI(View on Map)
Legal Business Name
Odicare Pc
NPI Number
1497180798
NPI Type
Organization
Enumeration Date
09/06/2013
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
2901011444
Contact
Information
Purpose
Mailing
Location
Address
27201 RYAN RD
15510 LIVERNOIS AVE
City
Warren
Detroit
State
MI
MI
Postal Code
48092-5127
48238-1343
Country
US
US
Telephone Number
(586) 558-8004
(313) 863-3800
Authorized Official
Name
Dr. Jerel Owens
Title or Position
RESPONSIBLE PARTY
Telephone Number
(313) 341-3684
Identifiers
Identifier
4718431
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/06/2013
Provider Address
Other Dentists in Detroit, Michigan:
Pretty Smiles Dentures & More Llc.
May also be known as Dr. Carol Tanase Family Dentstry P. C.
Detroit, MISpecialty: Dentist (Primary)