| Lasting Smile Dental | |
|
57850 Van Dyke Rd Ste 500 Washington MI 48094-3827 | |
| (586) 207-1091 | |
| Not Available |
| Full Name | Lasting Smile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 57850 Van Dyke Rd Ste 500, Washington, Michigan |
| Authorized Official Name and Position | Lana Tello-abed (PRESIDENT) |
| Authorized Official Contact | 5868389698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Smile Dental 57850 Van Dyke Rd Ste 500 Washington MI 48094-3827 Ph: (586) 207-1091 | Lasting Smile Dental 57850 Van Dyke Rd Ste 500 Washington MI 48094-3827 Ph: (586) 207-1091 |
| NPI Number | 1689438079 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689438079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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