| Lifetime Dental Care Of Michigan, P.c. | |
|
28282 Dequindre Rd Warren MI 48092-5604 | |
| (586) 574-2620 | |
| Not Available |
| Full Name | Lifetime Dental Care Of Michigan, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28282 Dequindre Rd, Warren, Michigan |
| Authorized Official Name and Position | Courtney Monteith (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Michigan, P.c. 28282 Dequindre Rd Warren MI 48092-5604 Ph: () - | Lifetime Dental Care Of Michigan, P.c. 28282 Dequindre Rd Warren MI 48092-5604 Ph: (586) 574-2620 |
| NPI Number | 1477261329 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477261329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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