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Organization
ALLEN PARK FAMILY DENTAL CENTER, PC
Active
Organization
ALLEN PARK FAMILY DENTAL CENTER, PC
Active
Other names
Allen Park Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PASSERA DDS (PRESIDENT/OWNER)
(313) 388-3550
Entity
Organization
Contact information
Practice address
6760 ALLEN RD, SUITE 201, ALLEN PARK, MI 48101-2078
(313) 388-3550
Mailing address
6760 ALLEN RD, SUITE 201, ALLEN PARK, MI 48101-2078
(313) 388-3550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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