| Pediatric Dental Specialists | |
|
31560 Schoolcraft Rd Livonia MI 48150-1805 | |
| (734) 425-0600 | |
| Not Available |
| Full Name | Pediatric Dental Specialists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 31560 Schoolcraft Rd, Livonia, Michigan |
| Authorized Official Name and Position | Gary A Stern (DENTIST) |
| Authorized Official Contact | 7344250600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists 31560 Schoolcraft Rd Livonia MI 48150-1805 Ph: (734) 425-0600 | Pediatric Dental Specialists 31560 Schoolcraft Rd Livonia MI 48150-1805 Ph: (734) 425-0600 |
| NPI Number | 1124299284 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124299284 | NPI | - | NPPES |
| 4292191 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901009379 (Michigan) | Primary |
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