Organization
CANTON PEDIATRIC DENTISTRY, PLLC
Active
Other names
Canton Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NESA MALCHEFF (BUSINESS COORDINATOR)
(734) 335-7270
Entity
Organization
Contact information
Practice address
1657 N CANTON CENTER RD, CANTON, MI 48187-2948
(734) 335-7270
(734) 667-4648
Mailing address
1657 N CANTON CENTER RD, CANTON, MI 48187-2948
(734) 335-7270
(734) 667-4648
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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