Suburban Family Dental
Clinic/Center, Dental in Highland, MI. Organization (NPI-2).
NPI number1114366234
StatusActive
Last updated in NPPESJun 21, 2013
Details
- NPI
- 1114366234
- Entity type
- Organization (NPI-2)
- Legal business name
- Suburban Family Dental
- Organization subpart
- No
- Enumeration date
- Jun 21, 2013
- Last updated
- Jun 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 2901014830 | MI | Yes |
Practice location
2725 S Milford RdHighland, MI 48357
Phone 248-685-7273 · Fax 248-685-1394
Mailing address
2725 S Milford RdHighland, MI 48357
Phone 248-685-7273 · Fax 248-685-1394
Authorized official
Louis Leonor
Owner
2486857273
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All 5 Dental Clinic/Center providers in Highland · All 310 providers in Highland
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