Organization
PAUL DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL AGYEKUM DDS (OWNER/ PRESIDENT)
(313) 839-7900
Entity
Organization
Contact information
Practice address
14521 E 7 MILE RD, DETROIT, MI 48205-2446
(313) 839-7999
(313) 839-0639
Mailing address
14521 E 7 MILE RD, DETROIT, MI 48205-2446
(313) 839-7999
(313) 839-0639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12292
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106916
—
MI
Enumeration date
04/18/2008
Last updated
04/18/2008
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