Michigan Private Dental Group
NPI #1902203227 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1902203227
- Entity Type
- Organization
- Organization Name
- Michigan Private Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 2, 2014
- Last Updated
- Dec 2, 2014
Practice Location
- Address
- 27731 JEFFERSON AVE
- State
- Michigan
- ZIP Code
- 48081-1309
- Phone
- (586) 771-6440
Authorized Official
- Name
- DR. ANTHONY R BIELKIE, DDS
- Title
- PRESIDENT
- Phone
- (586) 771-3440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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