GAGOH FAMILY DENTAL NPI 1073835120

NPI Information

GAGOH FAMILY DENTAL is a general practice dentist in Southfield, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GAGOH FAMILY DENTAL NPI is 1073835120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24450 EVERGREEN RD
SUITE 101
SOUTHFIELD, MI
ZIP 48075-518
Phone: (248) 350-3366
Fax: (248) 350-0457

The provider's authorized official is Oscar K Gagoh .
The authorized official title is Owner and has the following contact phone number (248) 350-3366.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 3/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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