Organization
CHILDRENS DENTAL SPECIALISTS OF HAZEL PARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFECHIDE NWABUEZE (PRESIDENT)
(248) 336-0356
Entity
Organization
Contact information
Practice address
22241 JOHN R RD, HAZEL PARK, MI 48030-1716
(248) 336-0356
(248) 336-0357
Mailing address
22241 JOHN R RD, HAZEL PARK, MI 48030-1716
(248) 336-0356
(248) 336-0357
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
08/19/2019
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