Academy Family Dental Group, P.C.
Dentist, General Practice in Detroit, MI. Organization (NPI-2).
NPI number1508957085
StatusActive
Last updated in NPPESApr 10, 2008
Details
- NPI
- 1508957085
- Entity type
- Organization (NPI-2)
- Legal business name
- Academy Family Dental Group, P.C.
- Organization subpart
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Apr 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | MI | Yes |
Practice location
18241 Greenfield RdDetroit, MI 48235-3121
Phone 313-272-1530 · Fax 313-272-7610
Mailing address
18241 Greenfield RdDetroit, MI 48235-3121
Authorized official
Wendell Scales
President
3132721530
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