| Childrens Dental Care Of Detroit | |
|
430 Mack Ave Detroit MI 48201-2136 | |
| (313) 262-6059 | |
| (313) 262-6331 |
| Full Name | Childrens Dental Care Of Detroit |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 430 Mack Ave, Detroit, Michigan |
| Authorized Official Name and Position | Hassan Oueis (OWNER) |
| Authorized Official Contact | 3132626059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Care Of Detroit 430 Mack Ave Detroit MI 48201-2136 Ph: (313) 262-6059 | Childrens Dental Care Of Detroit 430 Mack Ave Detroit MI 48201-2136 Ph: (313) 262-6059 |
| NPI Number | 1104482439 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104482439 | NPI | - | NPPES |
| 1386813244 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
News Archive
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› Verified 9 days ago
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