| Jolly Smiles Dental | |
|
645 Griswold St Ste 224 Detroit MI 48226-4014 | |
| (586) 873-1014 | |
| Not Available |
| Full Name | Jolly Smiles Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 645 Griswold St Ste 224, Detroit, Michigan |
| Authorized Official Name and Position | Elbert M. Henderson (DIRECTOR) |
| Authorized Official Contact | 5868731014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jolly Smiles Dental 645 Griswold St Ste 224 Detroit MI 48226-4014 Ph: (586) 873-1014 | Jolly Smiles Dental 645 Griswold St Ste 224 Detroit MI 48226-4014 Ph: (586) 873-1014 |
| NPI Number | 1770244972 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 06/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770244972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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