| Family Dentistry | |
|
10326 W Warren Ave Suite 2 Dearborn MI 48126-1659 | |
| (313) 581-0717 | |
| (313) 581-3590 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10326 W Warren Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Mohammed W Imam (OWNER) |
| Authorized Official Contact | 3135810710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 10326 W Warren Ave Suite 2 Dearborn MI 48126-1659 Ph: (313) 581-0717 | Family Dentistry 10326 W Warren Ave Suite 2 Dearborn MI 48126-1659 Ph: (313) 581-0717 |
| NPI Number | 1497928493 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497928493 | NPI | - | NPPES |
| 1649320722 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901015608 (Michigan) | Primary |
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