Organization
PRIME DENTISTRY SOUTHFIELD PLLC
Active
Other names
dixon family dental
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LABRANCHE (COO)
(586) 651-2155
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 210, SOUTHFIELD, MI 48075-3750
(248) 552-0223
Mailing address
837 FOREST AVE, BIRMINGHAM, MI 48009-6452
(586) 651-2155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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