Grass Lake Dental Center Pllc | |
11745 E Michigan Ave Grass Lake MI 49240-9219 | |
(517) 522-5018 | |
Not Available |
Full Name | Grass Lake Dental Center Pllc |
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Speciality | Clinic/center - Dental |
Location | 11745 E Michigan Ave, Grass Lake, Michigan |
Authorized Official Name and Position | Luciana Gabriela Castro (OWNER) |
Authorized Official Contact | 7343550779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grass Lake Dental Center Pllc 2143 Orchardview Ann Arbor MI 48108-2766 Ph: () - | Grass Lake Dental Center Pllc 11745 E Michigan Ave Grass Lake MI 49240-9219 Ph: (517) 522-5018 |
NPI Number | 1386388114 |
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Provider Enumeration Date | 04/27/2022 |
Last Update Date | 04/27/2022 |
Identifier | Type | State | Issuer |
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1386388114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Potocki Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12365 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-764-6283 |