Edp of Mi, PC

NPI #1447804919 in Trenton, Michigan

Provider Information

NPI Number: 1447804919
Entity Type: Organization
Organization Name: Edp of Mi, PC
Subpart: Yes (part of a larger organization)
Parent Organization: EDP OF MI, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 1, 2019
Last Updated: Aug 1, 2019

Practice Location

Address: 1640 FORT ST
City: Trenton
State: Michigan
ZIP Code: 48183-2040
Phone: (734) 675-8400

Authorized Official

Name: ROSEANNE BRUNENKANT
Title: DIRECTOR OF INTEGRATIONS
Phone: (312) 937-3619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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