| Fill Good Dental Center Pllc | |
|
18570 Grand River Ave 102 Detroit MI 48223-2201 | |
| (313) 837-3000 | |
| (313) 838-4581 |
| Full Name | Fill Good Dental Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 18570 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Lawrence Stewart (DOC/PARTNER) |
| Authorized Official Contact | 3138373000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fill Good Dental Center Pllc 18750 Grand River Ave 102 Detroit MI 48223 Ph: (313) 837-3000 | Fill Good Dental Center Pllc 18570 Grand River Ave 102 Detroit MI 48223-2201 Ph: (313) 837-3000 |
| NPI Number | 1093266215 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093266215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901017708 (Michigan) | Primary |
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