SPECIAL DENTAL PC
Dentist at Ryan Rd, Warren, MI

License number
Michigan 2901012438
Category
Dentist
Type
Dentist
Owner
Name: TINA WILDER
Title: REG MANAGER
Phone: (313) 342-1997
Address
Address
27201 Ryan Rd, Warren, MI 48092
National Provider ID: 1083016711
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPECIAL DENTAL, PC

Detroit, MI  -  Warren, MI

Registration:
Sep 15, 2014
Addresses:
20720 Plymouth Rd, Detroit, MI 48228 (Physical)
27201 Ryan Rd, Warren, MI 48092 (Mailing)
State ID:
06020U
Business type:
Domestic Profit Corporation
Agent:
Terri Feldman

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