Organization
MIDWESTERN DENTAL OF CANTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MORGAN JR. (ADMINISTRATIVE DIRECTOR)
(313) 582-8150
Entity
Organization
Contact information
Practice address
45650 FORD RD, CANTON, MI 48187-5432
(734) 207-3740
(734) 207-0197
Mailing address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 582-8150
(313) 582-6015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
N/A
—
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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