| Great Lakes Family Dental Group-st. Joseph | |
|
2525 S Cleveland Ave Saint Joseph MI 49085-2649 | |
| (810) 625-2860 | |
| Not Available |
| Full Name | Great Lakes Family Dental Group-st. Joseph |
|---|---|
| Speciality | Dentist |
| Location | 2525 S Cleveland Ave, Saint Joseph, 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-st. Joseph 2525 S Cleveland Ave Saint Joseph MI 49085-2649 Ph: () - | Great Lakes Family Dental Group-st. Joseph 2525 S Cleveland Ave Saint Joseph MI 49085-2649 Ph: (810) 625-2860 |
| NPI Number | 1598117616 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598117616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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