| Professional Dental Alliance Of Romulus, Llc | |
|
37235 Goddard Rd Romulus MI 48174-1215 | |
| (734) 941-0343 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Romulus, Llc |
|---|---|
| Speciality | Dentist |
| Location | 37235 Goddard Rd, Romulus, Michigan |
| Authorized Official Name and Position | Annette Marlow (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7246982119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Romulus, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Romulus, Llc 37235 Goddard Rd Romulus MI 48174-1215 Ph: (734) 941-0343 |
| NPI Number | 1467964700 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467964700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Romulus Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 37235 Goddard Rd, Romulus, MI 48174 Phone: 734-941-0343 Fax: 734-941-7694 | |
Ronald N Mizikow Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13727 S Huron River Dr, Romulus, MI 48174 Phone: 734-941-0010 Fax: 734-941-0010 |