Organization
PRIME DENTISTRY NOVI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TOMES (OPERATIONS DIRECTOR)
(734) 722-1617
Entity
Organization
Contact information
Practice address
24505 FAIRMOUNT DR, DEARBORN, MI 48124-1541
(734) 722-1617
Mailing address
35100 E MICHIGAN AVE, WAYNE, MI 48184-3698
(734) 722-1617
(734) 722-5240
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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