Organization
DETROIT ORAL SURGERY SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX WOLICKI (ACCOUNTANT)
(586) 558-8004
Entity
Organization
Contact information
Practice address
13874 GRAND RIVER AVE, DETROIT, MI 48227-3123
(313) 834-4900
Mailing address
27201 RYAN RD, WARREN, MI 48092-5127
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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