Lakewood Dental Group Iii

NPI 1063552313 - Dentist - 122300000X

NPI Details
NPI 1063552313
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAMZI A RAMZI
Position PRESIDENT
Phone (313) 271-1800
Fax
Practice Location
19451 W WARREN AVE
DETROIT MI, 48228, US
Phone (313) 271-1800
Fax
Business Location
19451 W WARREN AVE
DETROIT MI, 48228, US
Phone (313) 271-1800
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 016915
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According to our database, Lakewood Dental Group Iii NPI is 1063552313, taxonomy code is 122300000X and license number is 016915, license state is located at Michigan. Lakewood Dental Group Iii physically located at 19451 W Warren Ave, Detroit MI, 48228. NPI Number 1033115704 has the healthcare provider type.

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1063552313 NPI number is provided on an as is basis without warranty of any kind. 1063552313 is maintained by the National Plan & Provider Enumeration System. The contents of Lakewood Dental Group Iii are for informational purposes only.