| Facial Beauty Dental, Pllc | |
|
3255 W Maple Rd Wixom MI 48393-4585 | |
| (248) 669-4141 | |
| Not Available |
| Full Name | Facial Beauty Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3255 W Maple Rd, Wixom, Michigan |
| Authorized Official Name and Position | Gordon Phillip Smith (OWNER) |
| Authorized Official Contact | 2486694141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial Beauty Dental, Pllc 3255 W Maple Rd Wixom MI 48393-4585 Ph: (248) 669-4141 | Facial Beauty Dental, Pllc 3255 W Maple Rd Wixom MI 48393-4585 Ph: (248) 669-4141 |
| NPI Number | 1063804334 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063804334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901013824 (Michigan) | Primary |
Wixom Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49175 Pontiac Trl, Wixom, MI 48393 Phone: 248-859-5300 |