Renewal Family Dental Pllc | |
22190 Garrison St Ste 201 Dearborn MI 48124-2235 | |
(313) 277-8900 | |
Not Available |
Full Name | Renewal Family Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 22190 Garrison St Ste 201, Dearborn, Michigan |
Authorized Official Name and Position | Sabah Lillian Gagnon-saleeby (DENTIST) |
Authorized Official Contact | 3132132505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renewal Family Dental Pllc 600 Ridgemont Ave Dearborn MI 48124-1221 Ph: (313) 213-2505 | Renewal Family Dental Pllc 22190 Garrison St Ste 201 Dearborn MI 48124-2235 Ph: (313) 277-8900 |
NPI Number | 1497347686 |
---|---|
Provider Enumeration Date | 02/09/2021 |
Last Update Date | 02/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497347686 | NPI | - | NPPES |
1982087953 | Other | MI | OWNER OF PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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