Organization Name: | AFFORDABLE DENTAL CARE PLLC |
NPI Number: | 1003247768 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY M SOLOMON (PRESIDENT) |
Mailing Address: | 18181 W 12 Mile Rd Suite 4 Lathrup Village |
State: | MI US |
Postal Code: | 480762666 |
Phone Number: | 2485575756 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2013 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |