| Dental Inc | |
|
25225 W 7 Mile Rd Suite 200 Redford MI 48240 | |
| (313) 541-3004 | |
| (313) 541-3038 |
| Full Name | Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 25225 W 7 Mile Rd, Redford, Michigan |
| Authorized Official Name and Position | Daryl L Duncan (OWNER) |
| Authorized Official Contact | 3135413004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Inc 25225 W 7 Mile Rd Suite 200 Redford MI 48240 Ph: (313) 541-3004 | Dental Inc 25225 W 7 Mile Rd Suite 200 Redford MI 48240 Ph: (313) 541-3004 |
| NPI Number | 1619044237 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619044237 | NPI | - | NPPES |
| 4210113 | Medicaid | MI | |
| D800297 | Other | MI | BCBS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901010959 (Michigan) | Primary |
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