Organization
GROSSE POINTE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS PANAGOS DDS (OWNER)
(313) 882-9729
Entity
Organization
Contact information
Practice address
18501 MACK AVE, GROSSE POINTE FARMS, MI 48236-3224
(313) 882-9729
Mailing address
18501 MACK AVE, GROSSE POINTE FARMS, MI 48236-3224
(313) 882-9729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13571
MI
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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