| D2 Dental Of Michigan | |
|
1124 28th St Sw Suite 38a Wyoming MI 49509-2855 | |
| (708) 386-4100 | |
| Not Available |
| Full Name | D2 Dental Of Michigan |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1124 28th St Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Boris Labinov (AGENT) |
| Authorized Official Contact | 7083864100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D2 Dental Of Michigan 137 N Oak Park Ave Suite 302a Oak Park IL 60301-1344 Ph: () - | D2 Dental Of Michigan 1124 28th St Sw Suite 38a Wyoming MI 49509-2855 Ph: (708) 386-4100 |
| NPI Number | 1982960894 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982960894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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