Organization
BENJAMIN J UNDERWOOD DDS LLC
Active
Other names
Village Place Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CARYN MALLON (OFFICE MANAGER)
(586) 264-5410
Entity
Organization
Contact information
Practice address
6213 CHICAGO RD STE 100, WARREN, MI 48092-1697
(586) 264-5410
(586) 264-1119
Mailing address
6213 CHICAGO RD STE 100, WARREN, MI 48092-1697
(586) 264-5410
(586) 264-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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