| Shelia Y Kennebrew Dds., Ms., Pc | |
|
29556 Southfield Rd Suite 100 Southfield MI 48076-2021 | |
| (248) 552-1195 | |
| (248) 552-0980 |
| Full Name | Shelia Y Kennebrew Dds., Ms., Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 29556 Southfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Shelia Yvette Kennebrew Horton (PERIODONTIST/OWNER) |
| Authorized Official Contact | 2485521195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelia Y Kennebrew Dds., Ms., Pc 29556 Southfield Rd Suite 100 Southfield MI 48076-2021 Ph: (248) 552-1195 | Shelia Y Kennebrew Dds., Ms., Pc 29556 Southfield Rd Suite 100 Southfield MI 48076-2021 Ph: (248) 552-1195 |
| NPI Number | 1689043192 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689043192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D2901015296 (Michigan) | Primary |
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