Great Lakes Dental Group

NPI 1407900558 - Dentist - 122300000X

NPI Details
NPI 1407900558
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRANK KEN FRANK
Position OWNER DENTIST
Phone (231) 947-3790
Fax (231) 947-3353
Practice Location
115 E 14TH ST
TRAVERSE CITY MI, 49684-3220, US
Phone (231) 947-3790
Fax (231) 947-3353
Business Location
115 E 14TH ST
TRAVERSE CITY MI, 49684-3220, US
Phone (231) 947-3790
Fax (231) 947-3353
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Great Lakes Dental Group NPI is 1407900558, taxonomy code is 122300000X Great Lakes Dental Group physically located at 115 E 14th St, Traverse City MI, 49684-3220. NPI Number 1033115704 has the healthcare provider type.

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1407900558 NPI number is provided on an as is basis without warranty of any kind. 1407900558 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Dental Group are for informational purposes only.