Organization
WARRENDALE DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY ROBINSON (ADMINSTRATOR)
(313) 584-5600
Entity
Organization
Contact information
Practice address
6501 GREENFIELD RD, #201, DETROIT, MI 48228-4780
(313) 584-5600
Mailing address
6501 GREENFIELD RD, #201, DETROIT, MI 48228-4780
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
2901011576
MI
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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