| The Dentist | |
|
683 W Huron St Pontiac MI 48341-1522 | |
| (248) 335-1000 | |
| Not Available |
| Full Name | The Dentist |
|---|---|
| Speciality | Dentist |
| Location | 683 W Huron St, Pontiac, Michigan |
| Authorized Official Name and Position | Rita R Marroghi-jabro (PRESIDENT) |
| Authorized Official Contact | 2487909600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist 683 W Huron St Pontiac MI 48341-1522 Ph: (248) 335-1000 | The Dentist 683 W Huron St Pontiac MI 48341-1522 Ph: (248) 335-1000 |
| NPI Number | 1174064273 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174064273 | NPI | - | NPPES |
| 1386714632 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901016756 (Michigan) | Primary |
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