| Lifetime Dental Care Of Michigan, P.c. | |
|
348 Wilson Ave Nw Walker MI 49534-3555 | |
| (616) 317-2485 | |
| (616) 317-2406 |
| Full Name | Lifetime Dental Care Of Michigan, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 348 Wilson Ave Nw, Walker, Michigan |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Michigan, P.c. 348 Wilson Ave Nw Walker MI 49534-3555 Ph: (616) 317-2485 | Lifetime Dental Care Of Michigan, P.c. 348 Wilson Ave Nw Walker MI 49534-3555 Ph: (616) 317-2485 |
| NPI Number | 1811672199 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811672199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Grand Rapids Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 4 Mile Rd Nw, Suite C, Walker, MI 49544 Phone: 616-784-5800 Fax: 616-784-5801 |