NPI 1881062941

Ford Dental Group

Organisation Preferred Provider Organization Dearborn, MI

Practice location

Address: 5601 Schaefer Rd STE 101, Dearborn, MI 48126-4713
Phone: (313) 582-4800

Authorised official

Name: Aziz Moukled
Title: Dentist
Phone: (519) 819-7875

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2901021724 (MI)

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Registry record

NPI: 1881062941
Entity type: Organization
NPI issued: 7 Sep 2015
Record last updated: 7 Sep 2015

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.