Organization
HAVILAH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UVOH ONORIOBE DMD, MPH (DIRECTOR)
(704) 804-4436
Entity
Organization
Contact information
Practice address
9301 MAYFLOWER CT, PLYMOUTH, MI 48170-3923
(704) 497-0347
Mailing address
9301 MAYFLOWER CT, PLYMOUTH, MI 48170-3923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22001
MI
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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