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Organization

MOTOR CITY PEDIATRIC DENTISTRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE BURKS (MANAGER, INSURANCE OPERATIONS)
(989) 327-7095
Entity
Organization

Contact information

Practice address
8641 W GRAND RIVER AVE STE 1, BRIGHTON, MI 48116-4329
(810) 227-9015
Mailing address
PO BOX 773125, DETROIT, MI 48277-3125

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
09/20/2023
Last updated
09/20/2023
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