| Blue Water Dental Group Port Huron P.c. | |
|
803 Superior St Port Huron MI 48060-3764 | |
| (810) 987-7224 | |
| (810) 987-8585 |
| Full Name | Blue Water Dental Group Port Huron P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 803 Superior St, Port Huron, Michigan |
| Authorized Official Name and Position | Luann Thompson (OFFICE MANAGER) |
| Authorized Official Contact | 8109877224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Dental Group Port Huron P.c. 803 Superior St Port Huron MI 48060-3764 Ph: (810) 987-7224 | Blue Water Dental Group Port Huron P.c. 803 Superior St Port Huron MI 48060-3764 Ph: (810) 987-7224 |
| NPI Number | 1669649026 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669649026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10502 (Michigan) | Primary |
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