NPI 1851750608

Onyx and Dedicated Dental Services

Organisation Preferred Provider Organization Detroit, MI

Practice location

Address: 645 Griswold St Suite 224, Detroit, MI 48226-4105
Phone: (313) 263-0230
Fax: (313) 263-0320

Authorised official

Name: Sheila D. Hall
Title: Dental Hygienist/Office Administrat
Phone: (248) 763-3384

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2902003560 (MI)

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Registry record

NPI: 1851750608
Entity type: Organization
NPI issued: 22 Feb 2016
Record last updated: 22 Feb 2016

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.