Modern American Dental Clinic P. C.
Dentist in Dearborn, MI. Organization (NPI-2).
NPI number1407184641
StatusActive
Last updated in NPPESNov 30, 2009
Details
- NPI
- 1407184641
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern American Dental Clinic P. C.
- Organization subpart
- No
- Enumeration date
- Nov 30, 2009
- Last updated
- Nov 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 015159 MI | MI | Yes |
Practice location
14350 W Warren AveDearborn, MI 48126-1459
Phone 313-582-1919
Mailing address
14350 W Warren AveDearborn, MI 48126-1459
Phone 313-582-1919
Authorized official
Nabil Berry
President
3135821919
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