NPI 1033208707

Preferred Dental Group

Organisation Preferred Provider Organization Livonia, MI

Practice location

Address: 38000 Ann Arbor Trl, Livonia, MI 48150-2453
Phone: (734) 591-3636
Fax: (734) 591-3355

Authorised official

Name: Chester J Regula
Title: Owner
Phone: (734) 591-3636

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2901012093 (MI)

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Registry record

NPI: 1033208707
Entity type: Organization
NPI issued: 12 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.