Organization
CHILDREN'S DENTAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFECHIDE NWABUEZE (DR)
(248) 528-0500
Entity
Organization
Contact information
Practice address
2240 LIVERNOIS RD, TROY, MI 48083-1664
(248) 528-0500
(248) 528-0555
Mailing address
2240 LIVERNOIS RD, TROY, MI 48083-1664
(248) 528-0500
(248) 528-0555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/16/2015
Last updated
08/03/2015
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