Organization
FORTSON DENTAL OAK PARK P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SOLI (OFFICE MANAGER)
(248) 398-5400
Entity
Organization
Contact information
Practice address
13741 W 11 MILE RD, OAK PARK, MI 48237-6926
(248) 398-5400
(248) 398-4752
Mailing address
13741 W 11 MILE RD, OAK PARK, MI 48237-6926
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2018
Last updated
12/12/2018
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