Organization
GD MI J&G-DEARBORN PLLC
Active
Other names
Oakwood Family Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
4700 SCHAEFER RD STE 190, DEARBORN, MI 48126-3655
(313) 945-8900
Mailing address
4700 SCHAEFER RD STE 190, DEARBORN, MI 48126-3655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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