Organization
SMILE CLINIC MOBILE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA M BELLEW (OFFICE MANAGER)
(313) 388-7720
Entity
Organization
Contact information
Practice address
17007 ECORSE RD, ALLEN PARK, MI 48101-2451
(313) 388-7720
(313) 388-8161
Mailing address
17007 ECORSE RD, ALLEN PARK, MI 48101-2451
(313) 388-7720
(313) 388-8161
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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