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Organization
PRIME DENTISTRY SOUTHFIELD PLLC
Active
Organization
PRIME DENTISTRY SOUTHFIELD PLLC
Active
Other names
dixon family dental
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LABRANCHE (COO)
(586) 651-2155
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 210, SOUTHFIELD, MI 48075-3750
(248) 552-0223
Mailing address
837 FOREST AVE, BIRMINGHAM, MI 48009-6452
(586) 651-2155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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