Organization
GD MI LIVONIA PLLC
Active
Other names
Bloink Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
33200 7 MILE RD, LIVONIA, MI 48152-1366
(248) 471-3781
Mailing address
33200 7 MILE RD, LIVONIA, MI 48152-1366
(248) 471-3781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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