# J Y DENTAL DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104641208
- **Authorized official:** ALEX WOLICKI (ACCOUNTANT)
- **Authorized official phone:** (586) 558-8004

## Contact information

- **Practice address:** 13874 GRAND RIVER AVE, DETROIT, MI 48227-3123
- **Practice address phone:** (313) 834-4900
- **Mailing address:** 27201 RYAN RD, WARREN, MI 48092-5127

## Taxonomy

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

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 11/22/2024