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Childrens Dental Care Of Detroit
Pediatric Dentist in Detroit, Michigan
NPI 1104482439

Childrens Dental Care Of Detroit is a Pediatric Dentist based in Detroit, MI and is specialized in Pediatric Dentistry. Childrens Dental Care Of Detroit practices in Detroit, MI. The NPI Number for Childrens Dental Care Of Detroit is 1104482439 and holds a License No. (Michigan).

The current practice location address for Childrens Dental Care Of Detroit is 430 Mack Ave, Detroit, MI and can be reached out via phone at 313-262-6059 and via fax at 313-262-6331.

Location: 430 Mack Ave, Detroit, MI, 48201-2136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104482439
Provider Name
Childrens Dental Care Of Detroit
Credential
Provider Entity Type
Organization
Address
430 Mack Ave, Detroit, MI, 48201-2136
Phone Number
313-262-6059
Fax Number
313-262-6331
Provider Enumeration Date
05/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386813244 05 MI
institution
Provider Business Practice Location Address Details
Address
430 Mack Ave
City
Detroit
State
Michigan
Zip
48201-2136
Phone Number
313-262-6059
Fax Number
313-262-6331
person
Provider Business Mailing Address Details
Address
430 Mack Ave
City
Detroit
State
Michigan
Zip
48201-2136
Phone Number
313-262-6059
Fax Number
313-262-6331
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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