Michigan Dentures

NPI #1134426513 in Berkley, Michigan

Provider Information

NPI Number: 1134426513
Entity Type: Organization
Organization Name: Michigan Dentures
Primary Specialty: Denturist
Enumeration Date: Feb 20, 2011
Last Updated: Feb 20, 2011

Practice Location

Address: 3684 W 11 MILE RD
City: Berkley
State: Michigan
ZIP Code: 48072-1002
Phone: (248) 398-1900

Authorized Official

Name: MR. EVERETT VAN DEN EEDEN
Title: OWNER / GENERAL PARTNER
Phone: (248) 398-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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