| Wixom Dental | |
|
49175 Pontiac Trl Wixom MI 48393-2580 | |
| (248) 859-5300 | |
| Not Available |
| Full Name | Wixom Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 49175 Pontiac Trl, Wixom, Michigan |
| Authorized Official Name and Position | Hussein Berry (DENTIST) |
| Authorized Official Contact | 2488595300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wixom Dental 49175 Pontiac Trl Wixom MI 48393-2580 Ph: (248) 859-5300 | Wixom Dental 49175 Pontiac Trl Wixom MI 48393-2580 Ph: (248) 859-5300 |
| NPI Number | 1821730920 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821730920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Facial Beauty Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3255 W Maple Rd, Wixom, MI 48393 Phone: 248-669-4141 |