Southwest Dental Group, P.C.
Dentist in Detroit, MI. Organization (NPI-2).
NPI number1467628958
StatusActive
Last updated in NPPESMay 5, 2008
Details
- NPI
- 1467628958
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Dental Group, P.C.
- Organization subpart
- No
- Enumeration date
- May 5, 2008
- Last updated
- May 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901011140 | MI | Yes |
Practice location
8028 W Vernor HwyDetroit, MI 48209-1522
Phone 313-841-7700
Mailing address
8028 W Vernor HwyDetroit, MI 48209-1522
Phone 313-841-7700
Authorized official
Emery K Toth
Director
3138417700
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