Your Family Dentist Pc

NPI 1366635146 - Dentist - 1223G0001X

NPI Details
NPI 1366635146
Enumeration Date 08/24/2007
Last Updated 08/24/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAULA GENE PAULA
Position OWNER
Phone (248) 423-9000
Fax (248) 423-9020
Practice Location
28245 SOUTHFIELD RD
LATHRUP VILLAGE MI, 48076-2863, US
Phone (248) 423-9000
Fax (248) 423-9020
Business Location
28245 SOUTHFIELD RD
LATHRUP VILLAGE MI, 48076-2863, US
Phone (248) 423-9000
Fax (248) 423-9020
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901015644
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According to our database, Your Family Dentist Pc NPI is 1366635146, taxonomy code is 1223G0001X and license number is 2901015644, license state is located at Michigan. Your Family Dentist Pc physically located at 28245 Southfield Rd, Lathrup Village MI, 48076-2863. NPI Number 1033115704 has the healthcare provider type.

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1366635146 NPI number is provided on an as is basis without warranty of any kind. 1366635146 is maintained by the National Plan & Provider Enumeration System. The contents of Your Family Dentist Pc are for informational purposes only.