| Gull Lake Dental Care Pc | |
|
9271 E D Ave Richland MI 49083-9497 | |
| (269) 629-9817 | |
| (269) 629-0195 |
| Full Name | Gull Lake Dental Care Pc |
|---|---|
| Speciality | Dentist |
| Location | 9271 E D Ave, Richland, Michigan |
| Authorized Official Name and Position | Todd Duane Tucker (PRESIDENT) |
| Authorized Official Contact | 2696299817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gull Lake Dental Care Pc 9271 E D Ave Po Box 9 Richland MI 49083-9497 Ph: (269) 629-9817 | Gull Lake Dental Care Pc 9271 E D Ave Richland MI 49083-9497 Ph: (269) 629-9817 |
| NPI Number | 1841345014 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841345014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16980 (Michigan) | Primary |
Richland Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8699 Gull Rd, Richland, MI 49083 Phone: 269-629-9087 |