D2 Dental Of Michigan, P.C.
Dentist, General Practice in Detroit, MI. Organization (NPI-2).
NPI number1073045985
StatusActive
Last updated in NPPESMar 30, 2017
Details
- NPI
- 1073045985
- Entity type
- Organization (NPI-2)
- Legal business name
- D2 Dental Of Michigan, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 30, 2017
- Last updated
- Mar 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
21427 Grand River AveSuite 100
Detroit, MI 48219-3896
Phone 586-393-5686
Mailing address
137 N Oak Park AveSuite 310
Oak Park, IL 60301-1344
Authorized official
Boris Labinov
Agent
7086134542
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