Organization
CENTER FOR DENTAL COSMETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY BAKER (ADMINISTRATOR)
(248) 681-8100
Entity
Organization
Contact information
Practice address
304 HAMILTON ROW, BIRMINGHAM, MI 48009-3459
(248) 540-7770
Mailing address
1770 GOLF RIDGE DR S, BLOOMFIELD HILLS, MI 48302-1730
(248) 681-8100
(248) 681-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09568
MI
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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