| Dearborn Family Dentistry Pc | |
|
22914 Michigan Ave Dearborn MI 48124-2010 | |
| (313) 565-5507 | |
| (313) 565-9085 |
| Full Name | Dearborn Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 22914 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Mark Luria (OWNER) |
| Authorized Official Contact | 3135655507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearborn Family Dentistry Pc 22914 Michigan Ave Dearborn MI 48124-2010 Ph: (313) 565-5507 | Dearborn Family Dentistry Pc 22914 Michigan Ave Dearborn MI 48124-2010 Ph: (313) 565-5507 |
| NPI Number | 1730232653 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730232653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Michigan) | Primary |
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