Organization
INGRACE DENTAL CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NNENNA NWANYIRIUBA EBODA BDS (PEDIATRIC DENTIST)
(810) 230-9800
Entity
Organization
Contact information
Practice address
2222 S LINDEN RD, SUITE K, FLINT, MI 48532-5475
(810) 230-9802
Mailing address
2222 S LINDEN RD, SUITE K, FLINT, MI 48532-5475
(810) 230-9802
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901017887
MI
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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