Pro Dental Mi 1 PC
NPI #1437986700 in Jackson, Michigan
Provider Information
- NPI Number
- 1437986700
- Entity Type
- Organization
- Organization Name
- Pro Dental Mi 1 PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 19, 2024
- Last Updated
- Sep 19, 2024
Practice Location
Authorized Official
- Name
- SIMONE WILSON-ADELEKE, MPA-PPA
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (732) 731-8398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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