Southfield Family Dental Center Pllc
NPI #1639812050 in Southfield, Michigan
Provider Information
- NPI Number
- 1639812050
- Entity Type
- Organization
- Organization Name
- Southfield Family Dental Center Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 14, 2022
- Last Updated
- Apr 14, 2022
Practice Location
- Address
- 18800 W 10 MILE RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-2654
- Phone
- (248) 569-6304
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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