Super Dental, Pc | |
15510 Livernois Ave Detroit MI 48238-1343 | |
(313) 863-2800 | |
Not Available |
Full Name | Super Dental, Pc |
---|---|
Speciality | Dentist |
Location | 15510 Livernois Ave, Detroit, Michigan |
Authorized Official Name and Position | Sandra A Loredo (DIRECTOR) |
Authorized Official Contact | 3138632800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Super Dental, Pc Po Box 38367 Detroit MI 48238 Ph: (313) 863-2800 | Super Dental, Pc 15510 Livernois Ave Detroit MI 48238-1343 Ph: (313) 863-2800 |
NPI Number | 1043460330 |
---|---|
Provider Enumeration Date | 09/24/2008 |
Last Update Date | 09/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043460330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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› Verified 5 days ago
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