| Lakeside Center For Implant Dentistry | |
|
15400 19 Mile Rd Suite 181 Clinton Township MI 48038-6327 | |
| (586) 228-0909 | |
| Not Available |
| Full Name | Lakeside Center For Implant Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15400 19 Mile Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | Alan F Robinson (DENTIST) |
| Authorized Official Contact | 5862280909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Center For Implant Dentistry 15400 19 Mile Rd Suite 181 Clinton Township MI 48038-6327 Ph: (586) 228-0909 | Lakeside Center For Implant Dentistry 15400 19 Mile Rd Suite 181 Clinton Township MI 48038-6327 Ph: (586) 228-0909 |
| NPI Number | 1235567694 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235567694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901013244 (Michigan) | Primary |
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