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Organization
MODERN AMERICAN DENTAL CLINIC P. C.
Active
Organization
MODERN AMERICAN DENTAL CLINIC P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL BERRY DDS (PRESIDENT)
(313) 582-1919
Entity
Organization
Contact information
Practice address
14350 W WARREN AVE, DEARBORN, MI 48126-1459
(313) 582-1919
Mailing address
14350 W WARREN AVE, DEARBORN, MI 48126-1459
(313) 582-1919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015159 MI
MI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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