| Great Lakes Family Dental Group-warren, P.c. | |
|
21635 Ryan Rd Warren MI 48091-2788 | |
| (810) 230-2345 | |
| (810) 230-3229 |
| Full Name | Great Lakes Family Dental Group-warren, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 21635 Ryan Rd, Warren, 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-warren, P.c. G3222 Beecher Rd Flint MI 48532-3614 Ph: () - | Great Lakes Family Dental Group-warren, P.c. 21635 Ryan Rd Warren MI 48091-2788 Ph: (810) 230-2345 |
| NPI Number | 1801345061 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801345061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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