| Bubble Gum Kids Dentistry | |
|
4600 E. 14mile Rd, Suite 3/4 Warren MI 48092 | |
| (586) 999-9000 | |
| (586) 999-8000 |
| Full Name | Bubble Gum Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4600 E. 14mile Rd, Suite 3/4, Warren, Michigan |
| Authorized Official Name and Position | Amy Paundlay (SR. VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 2034009999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bubble Gum Kids Dentistry 4600 E. 14mile Rd, Suite 3/4 Warren MI 48092 Ph: (586) 999-9000 | Bubble Gum Kids Dentistry 4600 E. 14mile Rd, Suite 3/4 Warren MI 48092 Ph: (586) 999-9000 |
| NPI Number | 1225714157 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225714157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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