PRO DENTAL MI 1 PC

DEARBORN, MI
NPI1669209938
Doing Business AsDESTINY DENTAL OF DEARBORN
Entity TypeOrganization
Authorized ContactSIMONE WILSON-ADELEKE
Director Of Credentialing
732-731-8398
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Additional Taxonomies1223G0001X Dentist, General Practice
Enumeration Date2024-09-19
Last Update Date2024-09-19
Business Address
PRO DENTAL MI 1 PC
16201 FORD RD STE 115
DEARBORN, MI 48126-2876
Phone number: 313-451-8304
Mailing Address
PRO DENTAL MI 1 PC
10 WOODBRIDGE CENTER DR STE 520
WOODBRIDGE, NJ 07095-1152
Phone number: 732-731-8398