Organization
DEARBORN DENTAL GROUP WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DALAL ELACHI (MANAGER)
(313) 584-3210
Entity
Organization
Contact information
Practice address
25245 FORD RD, DEARBORN, MI 48128-1050
(313) 584-3210
Mailing address
25245 FORD RD, DEARBORN, MI 48128-1050
(313) 584-3210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255577409
NPPES
MI
Enumeration date
04/23/2019
Last updated
04/23/2019
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