| Southgate Family Dental | |
|
15185 Allen Rd Southgate MI 48195-2921 | |
| (734) 324-2000 | |
| (734) 324-2092 |
| Full Name | Southgate Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15185 Allen Rd, Southgate, Michigan |
| Authorized Official Name and Position | Lisa Chamberlain (OFFICE MANAGER) |
| Authorized Official Contact | 7343242000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southgate Family Dental 15185 Allen Rd Southgate MI 48195-2921 Ph: (734) 324-2000 | Southgate Family Dental 15185 Allen Rd Southgate MI 48195-2921 Ph: (734) 324-2000 |
| NPI Number | 1124646781 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124646781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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