Gd Mi Farmington Pllc
NPI #1023852662 in Farmington, Michigan
Provider Information
- NPI Number
- 1023852662
- Entity Type
- Organization
- Organization Name
- Gd Mi Farmington Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2024
- Last Updated
- Jun 19, 2024
Practice Location
- Address
- 31930 GRAND RIVER AVE
- City
- Farmington
- State
- Michigan
- ZIP Code
- 48336-4126
- Phone
- (248) 474-0224
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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