| Lifetime Dental Care Of Michigan, P.c. | |
|
18181 W 12 Mile Rd Ste 1 Lathrup Village MI 48076-2666 | |
| (248) 849-9310 | |
| Not Available |
| Full Name | Lifetime Dental Care Of Michigan, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18181 W 12 Mile Rd Ste 1, Lathrup Village, Michigan |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Michigan, P.c. 18181 W 12 Mile Rd Ste 1 Lathrup Village MI 48076-2666 Ph: () - | Lifetime Dental Care Of Michigan, P.c. 18181 W 12 Mile Rd Ste 1 Lathrup Village MI 48076-2666 Ph: (248) 849-9310 |
| NPI Number | 1437809514 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437809514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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