| Great Lakes Dentistry Chesterfield | |
|
34301 23 Mile Rd Ste 140a Chesterfield MI 48047-4432 | |
| (586) 725-5500 | |
| Not Available |
| Full Name | Great Lakes Dentistry Chesterfield |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34301 23 Mile Rd Ste 140a, Chesterfield, Michigan |
| Authorized Official Name and Position | Shawn Van De Vyver (MANAGER) |
| Authorized Official Contact | 7343208939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Dentistry Chesterfield 73501 Windmill Dr Bruce Twp MI 48065-3159 Ph: () - | Great Lakes Dentistry Chesterfield 34301 23 Mile Rd Ste 140a Chesterfield MI 48047-4432 Ph: (586) 725-5500 |
| NPI Number | 1073265542 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073265542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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