| Southfield Family Dental Center Pllc | |
|
18800 W 10 Mile Rd Southfield MI 48075-2654 | |
| (248) 569-6304 | |
| Not Available |
| Full Name | Southfield Family Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18800 W 10 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfield Family Dental Center Pllc 18800 W 10 Mile Rd Southfield MI 48075-2654 Ph: (248) 569-6304 | Southfield Family Dental Center Pllc 18800 W 10 Mile Rd Southfield MI 48075-2654 Ph: (248) 569-6304 |
| NPI Number | 1639812050 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639812050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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› Verified 2 days ago
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