| Sdpa2 Pllc | |
|
4721 Dixie Hwy Waterford MI 48329-3565 | |
| (248) 673-7026 | |
| Not Available |
| Full Name | Sdpa2 Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4721 Dixie Hwy, Waterford, Michigan |
| Authorized Official Name and Position | Danial Redifer (OWNER) |
| Authorized Official Contact | 5862129762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sdpa2 Pllc 7 W Square Lake Rd Bloomfield Hills MI 48302-0462 Ph: () - | Sdpa2 Pllc 4721 Dixie Hwy Waterford MI 48329-3565 Ph: (248) 673-7026 |
| NPI Number | 1043914351 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043914351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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