| Tmj And Sleep Of Se Michigan | |
|
36700 Woodward Ave Suite 200 Bloomfield MI 48304-0926 | |
| (248) 290-2900 | |
| Not Available |
| Full Name | Tmj And Sleep Of Se Michigan |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 36700 Woodward Ave, Bloomfield, Michigan |
| Authorized Official Name and Position | Ivan Samano (PRESIDENT) |
| Authorized Official Contact | 2482902900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmj And Sleep Of Se Michigan 36700 Woodward Ave Suite 200 Bloomfield MI 48304-0926 Ph: (248) 290-2900 | Tmj And Sleep Of Se Michigan 36700 Woodward Ave Suite 200 Bloomfield MI 48304-0926 Ph: (248) 290-2900 |
| NPI Number | 1285003905 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285003905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |