| Elite Dental Groups | |
|
1658 Middlebelt Rd Garden City MI 48135-2879 | |
| (734) 421-1181 | |
| Not Available |
| Full Name | Elite Dental Groups |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1658 Middlebelt Rd, Garden City, Michigan |
| Authorized Official Name and Position | Ibrahim A Al-munif (OWNER) |
| Authorized Official Contact | 7344211181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Groups 1658 Middlebelt Rd Garden City MI 48135-2879 Ph: (734) 421-1181 | Elite Dental Groups 1658 Middlebelt Rd Garden City MI 48135-2879 Ph: (734) 421-1181 |
| NPI Number | 1003183757 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003183757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901020171 (Michigan) | Primary |
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