Organization
ARTESIAN DENTAL GROUP, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE ELAINE MAYBERRY D.D.S (DENTIST OWNER)
(313) 835-6758
Entity
Organization
Contact information
Practice address
18940 SCHOOLCRAFT, DETROIT, MI 48223-2906
(313) 835-6758
(313) 835-6759
Mailing address
P.O.BOX 21-785, DETROIT, MI 48221
(313) 835-6758
(313) 835-6759
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901016544
MI
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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