Gusfa Dental Clinic, P.c. | |
24825 Michigan Ave Ste C Dearborn MI 48124-1758 | |
(313) 565-5350 | |
(313) 565-5561 |
Full Name | Gusfa Dental Clinic, P.c. |
---|---|
Speciality | Dentist |
Location | 24825 Michigan Ave Ste C, Dearborn, Michigan |
Authorized Official Name and Position | Steven Gusfa (PRESIDENT) |
Authorized Official Contact | 3135655350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gusfa Dental Clinic, P.c. 24825 Michigan Ave Ste C Dearborn MI 48124-1758 Ph: (313) 565-5350 | Gusfa Dental Clinic, P.c. 24825 Michigan Ave Ste C Dearborn MI 48124-1758 Ph: (313) 565-5350 |
NPI Number | 1346982147 |
---|---|
Provider Enumeration Date | 04/12/2022 |
Last Update Date | 04/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346982147 | NPI | - | NPPES |
1053318634 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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