Organization
DETROIT DENTAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROSS JOHNSON DDS (OWNER)
(313) 863-2800
Entity
Organization
Contact information
Practice address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 863-2800
(313) 863-5054
Mailing address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 863-2800
(313) 863-5054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015613
MI
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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