Professional Dental Alliance of Flat Rock, Pllc

NPI #1508378969 in Flat Rock, Michigan

Provider Information

NPI Number: 1508378969
Entity Type: Organization
Organization Name: Professional Dental Alliance of Flat Rock, Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2017
Last Updated: Apr 5, 2024

Practice Location

Address: 26500 W HURON RIVER DR
City: Flat Rock
State: Michigan
ZIP Code: 48134-1135
Phone: (734) 782-3500

Authorized Official

Name: ERICA QUINTEROS
Title: CREDENTIALING
Phone: (724) 901-1964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Provider Name	Specialty	City
DR. Theresa Lane Burt, DDS	Dentist	Flat Rock	AI Deep Dive
DR. Sue Ellen Cichowski, D.D.S.	Dentist	Royal Oak	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Flat Rock Dental, P.c.	Dentist	Flat Rock	AI Deep Dive

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