Childrens Dental Specialists of Hazel Park Pllc
NPI #1780143982 in Hazel Park, Michigan
Provider Information
- NPI Number
- 1780143982
- Entity Type
- Organization
- Organization Name
- Childrens Dental Specialists of Hazel Park Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 18, 2019
- Last Updated
- Aug 19, 2019
Practice Location
- Address
- 22241 JOHN R RD
- City
- Hazel Park
- State
- Michigan
- ZIP Code
- 48030-1716
- Phone
- (248) 336-0356
Authorized Official
- Name
- DR. IFECHIDE NWABUEZE
- Title
- PRESIDENT
- Phone
- (248) 336-0356
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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