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Organization

MICHIGAN DENTAL PROVIDERS, P.C.

Active
Parent organization
DENTALONE PARTNERS, INC
Other names
DentalWorks of Northville, DentalWorks
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTALONE PARTNERS, INC
Authorized official
RACHEL NITTINGER (MANAGER CREDENTIALING)
(972) 755-0816
Entity
Organization

Contact information

Practice address
39833 TRADITIONS DR, NORTHVILLE, MI 48168-9498
(248) 344-1913
Mailing address
7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111
(248) 344-1913

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/19/2015
Last updated
03/19/2018
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