Organization
GD MI FARMINGTON PLLC
Active
Other names
Roman Shlafer DDS
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
31930 GRAND RIVER AVE, FARMINGTON, MI 48336-4126
(248) 474-0224
Mailing address
31930 GRAND RIVER AVE, FARMINGTON, MI 48336-4126
(248) 474-0224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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