# PDC MANAGEMEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003985169
- **Authorized official:** ANWAR ELIA (OFFICER)
- **Authorized official phone:** (313) 842-8300

## Contact information

- **Practice address:** 5831 W VERNOR HWY, DETROIT, MI 48209-2159
- **Practice address phone:** (313) 842-8300
- **Practice address fax:** (313) 842-8530
- **Mailing address:** 5831 W VERNOR HWY, DETROIT, MI 48209-2159
- **Mailing address phone:** (313) 842-8300
- **Mailing address fax:** (313) 842-8530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020