| Sylvan Stern Dental Sleep Medicine Plc | |
|
17040 W 12 Mile Rd Suite 150 Southfield MI 48076-2131 | |
| (248) 559-0995 | |
| (248) 559-6724 |
| Full Name | Sylvan Stern Dental Sleep Medicine Plc |
|---|---|
| Speciality | Dentist |
| Location | 17040 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Sylvan S Stern (SOLE MEMBER) |
| Authorized Official Contact | 2485590995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvan Stern Dental Sleep Medicine Plc 17040 W 12 Mile Rd Suite 150 Southfield MI 48076-2131 Ph: (248) 559-0995 | Sylvan Stern Dental Sleep Medicine Plc 17040 W 12 Mile Rd Suite 150 Southfield MI 48076-2131 Ph: (248) 559-0995 |
| NPI Number | 1477951150 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 12/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477951150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12882 (Michigan) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 12882 (Michigan) | Secondary |
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