Organization
D2 DENTAL OF MICHIGAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS LABINOV (AGENT)
(708) 386-4100
Entity
Organization
Contact information
Practice address
1101 E WALTON BLVD, SUITE 300, PONTIAC, MI 48340-1591
(248) 499-9989
Mailing address
137 N OAK PARK AVE, SUITE 310, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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