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Organization
PDC MANAGEMEN
Active
Organization
PDC MANAGEMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR ELIA (OFFICER)
(313) 842-8300
Entity
Organization
Contact information
Practice address
5831 W VERNOR HWY, DETROIT, MI 48209-2159
(313) 842-8300
(313) 842-8530
Mailing address
5831 W VERNOR HWY, DETROIT, MI 48209-2159
(313) 842-8300
(313) 842-8530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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