Organization
PARK DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHADA BEYDOUN DDS (OWNER)
(313) 671-9353
Entity
Organization
Contact information
Practice address
1880 EMMONS BLVD, LINCOLN PARK, MI 48146-3866
(313) 388-8444
Mailing address
17843 PARKSHORE DR, NORTHVILLE, MI 48168-8579
(313) 671-9353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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