Organization
DETROIT DENTAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CIRILLI (DIRECTOR OF OPERATIONS)
(248) 547-7700
Entity
Organization
Contact information
Practice address
1665 W 12 MILE RD, BERKLEY, MI 48072-2121
(248) 547-7700
(248) 547-6054
Mailing address
1665 W 12 MILE RD, BERKLEY, MI 48072-2121
(248) 547-7700
(248) 547-6054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
07/13/2020
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