Childrens Dental Program Pllc
NPI #1225602022 in Hazel Park, Michigan
Provider Information
- NPI Number
- 1225602022
- Entity Type
- Organization
- Organization Name
- Childrens Dental Program Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 17, 2021
- Last Updated
- May 17, 2021
Practice Location
- Address
- 22241 JOHN R RD
- City
- Hazel Park
- State
- Michigan
- ZIP Code
- 48030-1716
- Phone
- (248) 217-7997
Authorized Official
- Name
- DR. IFECHIDE NWABUEZR, DMD
- Title
- OWNER
- Phone
- (248) 217-7997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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|---|---|
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