Great Lakes Family Dental Group Dexter, Pc

NPI 1003191941 - Dentist - 1223G0001X

NPI Details
NPI 1003191941
Enumeration Date 10/11/2011
Last Updated 10/11/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PATRICIA J. PATRICIA
Position CORPORATE MANAGER
Phone (734) 426-4651
Fax
Practice Location
3060 BAKER RD
DEXTER MI, 48130-1140, US
Phone (734) 426-4651
Fax
Business Location
3060 BAKER RD
DEXTER MI, 48130-1140, US
Phone (734) 426-4651
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Great Lakes Family Dental Group Dexter, Pc NPI is 1003191941, taxonomy code is 1223G0001X Great Lakes Family Dental Group Dexter, Pc physically located at 3060 Baker Rd, Dexter MI, 48130-1140. NPI Number 1033115704 has the healthcare provider type.

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1003191941 NPI number is provided on an as is basis without warranty of any kind. 1003191941 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Family Dental Group Dexter, Pc are for informational purposes only.