Organization · Type 2 NPI
Detroit Dental Spa PLLC
Dental Clinic/Center · Detroit, MI
NPI number
1366155202
Active
Practice location
2130 Trumbull St
Detroit, MI 48216-1344
Mailing address
1117 Griswold St Unit 1414
Detroit, MI 48226-1936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1366155202
Detroit Dental Spa PLLC's National Provider Identifier is 1366155202, issued on Jan 5, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Detroit, MI. The record was last updated on Mar 15, 2023.