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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC

Active Organization

PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC is a Dentist organization located in HAZEL PARK, Michigan. NPI 1912389842 is currently active in the NPPES registry. Verify at CMS.

Dentist · HAZEL PARK, MI

Registration Details

NPI Number
1912389842
Provider Type
Organization
NPI Issued
Jun 27, 2015 (10.94984415093 yrs)
Last Updated
Jun 27, 2015
License
2901011201 (MI)

Practice Information

Address
23528 JOHN R RD
HAZEL PARK, MI, 480301409
Browse MI providers · Browse ZIP 48030
Phone
2483971165
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in HAZEL PARK, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.