Organization
SMILEY DENTAL OF EIGHT MILE ROAD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M KIRCHNER (CREDENTIALING MANAGER)
(586) 915-0107
Entity
Organization
Contact information
Practice address
511 W 8 MILE RD, DETROIT, MI 48203-1004
(313) 454-4800
(313) 454-4805
Mailing address
511 W 8 MILE RD, DETROIT, MI 48203-1004
(313) 454-4800
(313) 454-4805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017136
MI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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