Olde Orchard Pediatric Dentistry

NPI 1265682900 - Dentist - 1223P0221X

NPI Details
NPI 1265682900
Enumeration Date 09/30/2008
Last Updated 09/30/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DAPHNE DAPHNE
Position ASSISTANT OFFICE MANAGER
Phone (248) 478-3232
Fax
Practice Location
40105 GRAND RIVER AVE STE 2
NOVI MI, 48375-2170, US
Phone (248) 478-3232
Fax
Business Location
40105 GRAND RIVER AVE STE 2
NOVI MI, 48375-2170, US
Phone (248) 478-3232
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Michigan
License Number 2901011539
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According to our database, Olde Orchard Pediatric Dentistry NPI is 1265682900, taxonomy code is 1223P0221X and license number is 2901011539, license state is located at Michigan. Olde Orchard Pediatric Dentistry physically located at 40105 Grand River Ave Ste 2, Novi MI, 48375-2170. NPI Number 1033115704 has the healthcare provider type.

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1265682900 NPI number is provided on an as is basis without warranty of any kind. 1265682900 is maintained by the National Plan & Provider Enumeration System. The contents of Olde Orchard Pediatric Dentistry are for informational purposes only.