Organization
D2 DENTAL OF MICHIGAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS LABINOV (AGENT)
(708) 613-4542
Entity
Organization
Contact information
Practice address
21427 GRAND RIVER AVE, SUITE 100, DETROIT, MI 48219-3896
(586) 393-5686
Mailing address
137 N OAK PARK AVE, SUITE 310, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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