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Organization
SKELLY & ZAGER DDS PC
Active
Organization
SKELLY & ZAGER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD S ZAGER DDS (VICE PRESIDENT)
(313) 565-3131
Entity
Organization
Contact information
Practice address
24718 MICHIGAN AVE, DEARBORN, MI 48124
(313) 565-3131
(313) 565-7103
Mailing address
24718 MICHIGAN AVE, DEARBORN, MI 48124
(313) 565-7103
(313) 565-7103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799854
UNITED CONCORDIA
MI
01
—
J801010
BLUE CROSS BLUE SHEILD
MI
Enumeration date
08/25/2006
Last updated
08/22/2020
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