Organization
PHOENIX DENTAL CENTERS P.C.
Active
Parent organization
THE DENTAL DEPOT
Other names
The Dental Depot
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE DENTAL DEPOT
Authorized official
WARREN BLACK DDS (OWNER/DENTIST)
(313) 505-0065
Entity
Organization
Contact information
Practice address
3362 LENNON RD, FLINT, MI 48507-1015
(810) 732-4740
Mailing address
3362 LENNON RD, FLINT, MI 48507-1015
(810) 732-4740
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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