DIVERSIFIED DENTAL, P.C.

SAINT CLAIR SHORES, MI
NPI1669191342
Entity TypeOrganization
Authorized ContactKEVIN D PRUSH
Dentist
586-775-2400
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
DIVERSIFIED DENTAL, P.C.
30231 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082-1787
Phone number: 586-775-2400
Mailing Address
DIVERSIFIED DENTAL, P.C.
30231 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082-1787
Phone number:
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