Organization
MODERN AMERICAN DENTAL CLINIC P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL BERRY DDS (PRESIDENT)
(313) 582-1919
Entity
Organization
Contact information
Practice address
14350 W WARREN AVE, DEARBORN, MI 48126-1459
(313) 582-1919
Mailing address
14350 W WARREN AVE, DEARBORN, MI 48126-1459
(313) 582-1919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015159 MI
MI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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