| East Lansing Advanced Dental Dba East Lansing Modern Dental | |
|
2035 Asher Ct East Lansing MI 48823-8480 | |
| (517) 394-1495 | |
| Not Available |
| Full Name | East Lansing Advanced Dental Dba East Lansing Modern Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 2035 Asher Ct, East Lansing, Michigan |
| Authorized Official Name and Position | Sandy S Acosta (PRACTICE DEVELOPMENT MANAGER) |
| Authorized Official Contact | 7345256100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Lansing Advanced Dental Dba East Lansing Modern Dental 2035 Asher Ct East Lansing MI 48823-8480 Ph: (517) 394-1495 | East Lansing Advanced Dental Dba East Lansing Modern Dental 2035 Asher Ct East Lansing MI 48823-8480 Ph: (517) 394-1495 |
| NPI Number | 1548872518 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548872518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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