Organization
D2 DENTAL OF MICHIGAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS LABINOV (AGENT)
(708) 358-0102
Entity
Organization
Contact information
Practice address
16201 FORD RD, SUITE 115, DEARBORN, MI 48126-2945
(616) 530-9900
Mailing address
137 N OAK PARK AVE, SUITE 310, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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