| Elan Okemos Llc | |
|
2445 Woodlake Cir Okemos MI 48864-5941 | |
| (734) 662-7874 | |
| Not Available |
| Full Name | Elan Okemos Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2445 Woodlake Cir, Okemos, Michigan |
| Authorized Official Name and Position | Sergio Mauricio Moeller (DENTIST/ OWNER) |
| Authorized Official Contact | 7342762541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elan Okemos Llc 2509 S State St Ann Arbor MI 48104-6145 Ph: (734) 662-7874 | Elan Okemos Llc 2445 Woodlake Cir Okemos MI 48864-5941 Ph: (734) 662-7874 |
| NPI Number | 1245803295 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245803295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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