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Organization
PAUL DENTAL GROUP, PC
Active
Organization
PAUL DENTAL GROUP, PC
Active
Other names
Ryan Eight Mile Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL AGYEKUM SR. DDS (DENTIST)
(313) 891-1900
Entity
Organization
Contact information
Practice address
3704 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-1900
(313) 891-2011
Mailing address
3704 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-1900
(313) 891-2011
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12292
—
MI
Enumeration date
10/24/2022
Last updated
10/24/2022
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