| Great Lakes Family Dental Group Dexter, Pc | |
|
3060 Baker Rd Dexter MI 48130-1140 | |
| (734) 426-4651 | |
| Not Available |
| Full Name | Great Lakes Family Dental Group Dexter, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3060 Baker Rd, Dexter, Michigan |
| Authorized Official Name and Position | Patricia J. Hart (CORPORATE MANAGER) |
| Authorized Official Contact | 8106252860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Family Dental Group Dexter, Pc 3060 Baker Rd Dexter MI 48130-1140 Ph: (734) 426-4651 | Great Lakes Family Dental Group Dexter, Pc 3060 Baker Rd Dexter MI 48130-1140 Ph: (734) 426-4651 |
| NPI Number | 1003191941 |
|---|---|
| Provider Enumeration Date | 10/11/2011 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003191941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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