Individual
FELIPE REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6700
Mailing address
807 GLENDALE DR, PORT CLINTON, OH 43452-2324
(734) 263-0026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12013954A
IN
1223G0001X
General Practice Dentistry
Primary
2952000830
MI
Other
Enumeration date
06/08/2023
Last updated
08/30/2023
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