Organization · Type 2 NPI
West Bloomfield Dentistry, PLLC
Dental Clinic/Center · West Bloomfield, MI
NPI number
1679302764
Active
Practice location
2040 Woodrow Wilson Blvd
West Bloomfield, MI 48324-1772
Mailing address
2040 Woodrow Wilson Dr
West Bloomfield, MI 48324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1679302764
West Bloomfield Dentistry, PLLC's National Provider Identifier is 1679302764, issued on Jul 29, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in West Bloomfield, MI. The record was last updated on Aug 8, 2024.