Comprehensive Dental, Pc | |
15510 Livernois Ave Detroit MI 48238-1343 | |
(313) 863-2800 | |
Not Available |
Full Name | Comprehensive Dental, Pc |
---|---|
Speciality | Dentist |
Location | 15510 Livernois Ave, Detroit, Michigan |
Authorized Official Name and Position | Donna Marie Kirchner (CREDENTIALING MANAGER) |
Authorized Official Contact | 5869150107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Comprehensive Dental, Pc 15510 Livernois Ave Detroit MI 48238-1343 Ph: (313) 863-2800 | Comprehensive Dental, Pc 15510 Livernois Ave Detroit MI 48238-1343 Ph: (313) 863-2800 |
NPI Number | 1134582802 |
---|---|
Provider Enumeration Date | 03/31/2016 |
Last Update Date | 03/31/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134582802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901021770 (Michigan) | Primary |
News Archive
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