D2 Dental of Michigan, P.c.

NPI #1164972303 in Pontiac, Michigan

Provider Information

NPI Number: 1164972303
Entity Type: Organization
Organization Name: D2 Dental of Michigan, P.c.
Primary Specialty: Dentist
Enumeration Date: Oct 12, 2016
Last Updated: Oct 12, 2016

Practice Location

Address: 1101 E WALTON BLVD
Address 2: SUITE 300
City: Pontiac
State: Michigan
ZIP Code: 48340-1591
Phone: (248) 499-9989

Authorized Official

Name: BORIS LABINOV
Title: AGENT
Phone: (708) 386-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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