Professional Dental Alliance of Michigan, LLC
NPI #1942740337 in Center Line, Michigan
Provider Information
- NPI Number
- 1942740337
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Michigan, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 3, 2017
- Last Updated
- Mar 13, 2017
Practice Location
- Address
- 23845 VAN DYKE AVE
- City
- Center Line
- State
- Michigan
- ZIP Code
- 48015-1300
- Phone
- (586) 467-0063
Authorized Official
- Name
- MARIA JONES
- Title
- CREDENTIALING SPECIALIST
- Phone
- (724) 698-2132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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