Organization
PAUL DENTAL GROUP, PC
Active
Other names
Ryan Eight Mile Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL AGYEKUM SR. DDS (DENTIST)
(313) 891-1900
Entity
Organization
Contact information
Practice address
3704 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-1900
(313) 891-2011
Mailing address
3704 E 8 MILE RD, DETROIT, MI 48234-1007
(313) 891-1900
(313) 891-2011
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12292
—
MI
Enumeration date
10/24/2022
Last updated
10/24/2022
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