Eureka Family Dental PC
Clinic/Center, Dental in Southgate, MI. Organization (NPI-2).
NPI number1366176166
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1366176166
- Entity type
- Organization (NPI-2)
- Legal business name
- Eureka Family Dental PC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2022
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
13046 Eureka RdSouthgate, MI 48195-1346
Phone 734-347-7568
Mailing address
13046 Eureka RdSouthgate, MI 48195-1346
Authorized official
Thomas Roger Lemonds
President
7342824838
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All 6 Dental Clinic/Center providers in Southgate · All 2,117 providers in Southgate
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