NPI 1053254193
Detroit Dental Rx PLLC
Practice location
- Address
- 15510 Livernois Ave, Detroit, MI 48238-1343
- Phone
- (313) 217-0014
- Fax
- (313) 246-1886
- Mailing address
- 27201 Ryan Rd, Warren, MI 48092-5127
Authorised official
- Name
- Alex Wolicki
- Title
- Member
- Phone
- (586) 558-8004
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1053254193
- Entity type
- Organization
- NPI issued
- 13 Apr 2026
- Record last updated
- 13 Apr 2026
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.