Provider First Line Business Practice Location Address:
CENTER FOR IMPLANT DENTISTRY
Provider Second Line Business Practice Location Address:
28124 ORCHARD LAKE RD, SUITE 100
Provider Business Practice Location Address City Name:
FARMINGTON HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-579-5922
Provider Business Practice Location Address Fax Number:
313-202-8275
Provider Enumeration Date:
06/13/2011