Pro Dental Mi 1 PC
Pro Dental Mi 1 PC is a General Practice Dentistry in Detroit, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14736 Mack AveDetroit, MI 48215-2524
Phone: (313) 412-2100
Fax: (313) 766-7734
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1912734286 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Simone Wilson-Adeleke — Director Of Credentialing · (732) 731-8398 |
| Other names | Destiny Dental Of Mack |
| NPI enumerated | September 19, 2024 |
| Last updated in NPPES | September 19, 2024 |
| Certification date | September 19, 2024 |
| Mailing address | 10 Woodbridge Center Dr Ste 520, Woodbridge, NJ 07095-1152 |
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