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3142 N Adrian Hwy Adrian MI 49221-1179 | |
| (517) 263-6100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3142 N Adrian Hwy, Adrian, Michigan |
| Authorized Official Name and Position | Laura M Martinez Aversano (PRESIDENT) |
| Authorized Official Contact | 8479102873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3142 N Adrian Hwy Adrian MI 49221-1179 Ph: (847) 910-2873 | 3142 N Adrian Hwy Adrian MI 49221-1179 Ph: (517) 263-6100 |
| NPI Number | 1275352049 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275352049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
John A Lark Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Country Club Rd, Suite B, Adrian, MI 49221 Phone: 517-263-9022 Fax: 517-263-9155 | |
Michael P Towler Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Maple Ave, Adrian, MI 49221 Phone: 517-265-7411 Fax: 517-263-1050 | |
Richard B. Youngs,dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Maple Ave, Adrian, MI 49221 Phone: 517-265-7411 Fax: 517-263-1050 |