Bay West Family Dental | |
30060 23 Mile Rd Chesterfield MI 48047-5718 | |
(586) 949-2240 | |
(586) 949-2243 |
Full Name | Bay West Family Dental |
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Speciality | Dentist - General Practice |
Location | 30060 23 Mile Rd, Chesterfield, Michigan |
Authorized Official Name and Position | Karen L Lenard (OFFICE MANAGER) |
Authorized Official Contact | 5869492240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bay West Family Dental 30060 23 Mile Rd Chesterfield MI 48047-5718 Ph: (586) 949-2240 | Bay West Family Dental 30060 23 Mile Rd Chesterfield MI 48047-5718 Ph: (586) 949-2240 |
NPI Number | 1508069907 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508069907 | NPI | - | NPPES |
4576013 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901017682 (Michigan) | Primary |
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