Organization
D2 DENTAL OF MICHIGAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS LABINOV (AGENT)
(708) 445-2668
Entity
Organization
Contact information
Practice address
3130 S WESTNEDGE AVENUE, KALAMAZOO, MI 49008
(269) 459-9200
Mailing address
137 N OAK PARK AVE, SUITE 310, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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