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Southgate Ardent Pllc
Dental Clinic/Center in Southgate, Michigan
NPI 1225779325

Southgate Ardent Pllc is a Dental Clinic/Center based in Southgate, MI and is specialized in Dental. Southgate Ardent Pllc practices in Southgate, MI. The NPI Number for Southgate Ardent Pllc is 1225779325 and holds a License No. (Michigan).

The current practice location address for Southgate Ardent Pllc is 13703 Northline Rd, Southgate, MI and can be reached out via phone at 734-284-8088 and via fax at 734-284-0522.

Location: 13703 Northline Rd, Southgate, MI, 48195-1866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225779325
Provider Name
Southgate Ardent Pllc
Credential
Provider Entity Type
Organization
Address
13703 Northline Rd, Southgate, MI, 48195-1866
Phone Number
734-284-8088
Fax Number
734-284-0522
Provider Enumeration Date
04/05/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447822572 01 MI NPI
1053768432 01 MI NPI
institution
Provider Business Practice Location Address Details
Address
13703 Northline Rd
City
Southgate
State
Michigan
Zip
48195-1866
Phone Number
734-284-8088
Fax Number
734-284-0522
person
Provider Business Mailing Address Details
Address
13703 Northline Rd
City
Southgate
State
Michigan
Zip
48195-1866
Phone Number
734-284-8088
Fax Number
734-284-0522
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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