Lakeview Oral Surgery & Dental Implant Center | |
1903 10th Ave Port Huron MI 48060-3105 | |
(810) 985-3200 | |
(810) 985-3752 |
Full Name | Lakeview Oral Surgery & Dental Implant Center |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1903 10th Ave, Port Huron, Michigan |
Authorized Official Name and Position | Maurizio Mirabelli (PRESIDENT/ORAL MAXILLOFACIAL SURGEO) |
Authorized Official Contact | 8109853200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeview Oral Surgery & Dental Implant Center 1903 10th Ave Port Huron MI 48060-3105 Ph: (810) 985-3200 | Lakeview Oral Surgery & Dental Implant Center 1903 10th Ave Port Huron MI 48060-3105 Ph: (810) 985-3200 |
NPI Number | 1033391230 |
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Provider Enumeration Date | 11/29/2007 |
Last Update Date | 12/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033391230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901016443 (Michigan) | Primary |
Family Dentists, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Holland Avenue, Port Huron, MI 48060 Phone: 810-987-8310 | |
St Clair County Health Department Dental Clinic Medicare: Medicare Enrolled Practice Location: 3415 28th St, Port Huron, MI 48060 Phone: 810-987-9396 Fax: 810-985-2150 | |
Huron Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Sedgwick St, Port Huron, MI 48060 Phone: 810-984-2742 Fax: 810-984-8934 | |
David M Lomasney Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Huron Avenue, Port Huron, MI 48060 Phone: 810-989-4746 Fax: 810-982-2209 | |
Michigan Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Michigan Street, Optional, Port Huron, MI 48060 Phone: 810-987-8711 | |
Carolan Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Superior St, Port Huron, MI 48060 Phone: 810-982-7682 Fax: 810-984-2653 |