| Clio Dental Center | |
|
145 W Vienna St Clio MI 48420-1333 | |
| (810) 687-9700 | |
| (810) 687-2695 |
| Full Name | Clio Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 145 W Vienna St, Clio, Michigan |
| Authorized Official Name and Position | Timothy J Miller (OWNER) |
| Authorized Official Contact | 8106879700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clio Dental Center 145 W Vienna St Clio MI 48420-1333 Ph: (810) 687-9700 | Clio Dental Center 145 W Vienna St Clio MI 48420-1333 Ph: (810) 687-9700 |
| NPI Number | 1891730487 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891730487 | NPI | - | NPPES |
| 4418480 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 016386 (Michigan) | Primary |
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Affordable Dentures - Clio, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5105 W Vienna Rd, Suite H, Clio, MI 48420 Phone: 810-686-1277 Fax: 810-686-1582 | |
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