# PAUL DENTAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922272152
- **Authorized official:** DR. PAUL AGYEKUM DDS (OWNER/ PRESIDENT)
- **Authorized official phone:** (313) 839-7900

## Contact information

- **Practice address:** 14521 E 7 MILE RD, DETROIT, MI 48205-2446
- **Practice address phone:** (313) 839-7999
- **Practice address fax:** (313) 839-0639
- **Mailing address:** 14521 E 7 MILE RD, DETROIT, MI 48205-2446
- **Mailing address phone:** (313) 839-7999
- **Mailing address fax:** (313) 839-0639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12292 | MI | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 04/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3106916 | — | MI |