Organization
EIGHT MILE DENTAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONA M RUGENSKI (OFFICE MGR)
(313) 454-4800
Entity
Organization
Contact information
Practice address
511 W 8 MILE RD, DETROIT, MI 48203-1004
(313) 454-4800
(313) 341-7867
Mailing address
PO BOX 38367, DETROIT, MI 48238-0367
(313) 454-4800
(313) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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