| Bright Side Dental-st. Clair Shores Pllc | |
|
31245 Harper Ave Saint Clair Shores MI 48082-1401 | |
| (586) 439-2940 | |
| Not Available |
| Full Name | Bright Side Dental-st. Clair Shores Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31245 Harper Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Derek Grytzelius (OWNER/DOCTOR) |
| Authorized Official Contact | 5864392940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Side Dental-st. Clair Shores Pllc 31245 Harper Ave Saint Clair Shores MI 48082-1401 Ph: (586) 439-2940 | Bright Side Dental-st. Clair Shores Pllc 31245 Harper Ave Saint Clair Shores MI 48082-1401 Ph: (586) 439-2940 |
| NPI Number | 1235497595 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235497595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018970 (Michigan) | Primary |
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