Whalio Doctors

NPI 1417179466

Docsmile Dental Center

Organisation Dental Laboratory Grosse Pointe, MI

Practice location

Address
18601 Mack Ave, Grosse Pointe, MI 48236-3250
Phone
(800) 362-7645
Mailing address
PO Box 1082, Dearborn, MI 48121-1082

Authorised official

Name
Tracey E Johnson-Robinson
Title
Administrator
Phone
(800) 362-7645

Registered specialties (2)

Dental Laboratory Primary
Laboratories Taxonomy 292200000X Licence 2901011576 (MI)
Dental Laboratory
Laboratories Taxonomy 292200000X Licence 2901015328 (MI)

Registry record

NPI
1417179466
Entity type
Organization
NPI issued
2 May 2007
Record last updated
7 Oct 2010

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.