Organization
PROSTHETIC AND IMPLANTS DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN SMITH (OFFICE MANAGER)
(248) 399-8600
Entity
Organization
Contact information
Practice address
1206 S WASHINGTON AVE, ROYAL OAK, MI 48067-3222
(248) 399-8600
(248) 399-8613
Mailing address
1206 S WASHINGTON AVE, ROYAL OAK, MI 48067-3222
(248) 399-8600
(248) 399-8613
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901019637
MI
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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