Divine Family Denistry

NPI #1639569684 in Roseville, Michigan

Provider Information

NPI Number: 1639569684
Entity Type: Organization
Organization Name: Divine Family Denistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 29, 2015
Last Updated: Jan 29, 2015

Practice Location

Address: 27845 GRATIOT AVE
City: Roseville
State: Michigan
ZIP Code: 48066-4848
Phone: (586) 445-2990

Authorized Official

Name: WENDI ABDEL-HAMEED
Title: RECEPTIONIST
Phone: (586) 445-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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