SUPREME DENTAL OF PLYMOUTH ROAD PC

DETROIT, MI
NPI1649693102
Entity TypeOrganization
Authorized ContactMICHELE BLOXSON
President
313-416-6806
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2014-02-03
Last Update Date2014-02-03
Business Address
SUPREME DENTAL OF PLYMOUTH ROAD PC
20720 PLYMOUTH RD
DETROIT, MI 48228-1275
Phone number: 313-342-1997
Mailing Address
SUPREME DENTAL OF PLYMOUTH ROAD PC
27201 RYAN RD
WARREN, MI 48092-5127
Phone number: