| Select Dental Pc | |
|
16128 15 Mile Road Suite 4 Fraser MI 48026 | |
| (586) 790-7550 | |
| (586) 790-7780 |
| Full Name | Select Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 16128 15 Mile Road, Fraser, Michigan |
| Authorized Official Name and Position | Michael Richard Abood (PRESIDENT OWNER) |
| Authorized Official Contact | 5867907550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Dental Pc 16128 15 Mile Road Suite 4 Fraser MI 48026 Ph: (586) 790-7550 | Select Dental Pc 16128 15 Mile Road Suite 4 Fraser MI 48026 Ph: (586) 790-7550 |
| NPI Number | 1104920446 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104920446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 015471 (Michigan) | Primary |
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