| Fortson Dentistry Lathrup North | |
|
27445 Southfield Rd Lathrup Village MI 48076-3411 | |
| (248) 423-9000 | |
| (248) 569-7409 |
| Full Name | Fortson Dentistry Lathrup North |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 27445 Southfield Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Jamie Soli (REGIONAL MANAGER) |
| Authorized Official Contact | 2483985400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortson Dentistry Lathrup North 27445 Southfield Rd Lathrup Village MI 48076-3411 Ph: (248) 423-9000 | Fortson Dentistry Lathrup North 27445 Southfield Rd Lathrup Village MI 48076-3411 Ph: (248) 423-9000 |
| NPI Number | 1669973970 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669973970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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