Prime Dentistry Southfield Pllc
NPI #1598349680 in Southfield, Michigan
Provider Information
- NPI Number
- 1598349680
- Entity Type
- Organization
- Organization Name
- Prime Dentistry Southfield Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 6, 2021
- Last Updated
- May 6, 2021
Practice Location
- Address
- 23077 GREENFIELD RD STE 210
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-3750
- Phone
- (248) 552-0223
Authorized Official
- Name
- THERESA LABRANCHE
- Title
- COO
- Phone
- (586) 651-2155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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