Engstrom Family Dental, Pllc | |
1625 Ramblewood Dr Ste 2 East Lansing MI 48823-6367 | |
(517) 332-0663 | |
(517) 332-2240 |
Full Name | Engstrom Family Dental, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1625 Ramblewood Dr Ste 2, East Lansing, Michigan |
Authorized Official Name and Position | Dennis A Engstrom (LLC MEMBER) |
Authorized Official Contact | 5178814069 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Engstrom Family Dental, Pllc 1625 Ramblewood Dr Ste 2 East Lansing MI 48823-6367 Ph: (517) 332-0663 | Engstrom Family Dental, Pllc 1625 Ramblewood Dr Ste 2 East Lansing MI 48823-6367 Ph: (517) 332-0663 |
NPI Number | 1841830999 |
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Provider Enumeration Date | 01/07/2020 |
Last Update Date | 01/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841830999 | NPI | - | NPPES |
1003297359 | Other | MI | TYPE 1 NPI |
1750455515 | Other | MI | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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