Lifetime Dental Care Pllc | |
2528 Spring Arbor Rd Jackson MI 49203-3602 | |
(517) 787-9171 | |
Not Available |
Full Name | Lifetime Dental Care Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2528 Spring Arbor Rd, Jackson, Michigan |
Authorized Official Name and Position | James Chen (MEMBER) |
Authorized Official Contact | 5177879171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifetime Dental Care Pllc 2528 Spring Arbor Rd Jackson MI 49203-3602 Ph: () - | Lifetime Dental Care Pllc 2528 Spring Arbor Rd Jackson MI 49203-3602 Ph: (517) 787-9171 |
NPI Number | 1225642242 |
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Provider Enumeration Date | 09/08/2020 |
Last Update Date | 09/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225642242 | NPI | - | NPPES |
2901018159 | Other | MI | DENTAL LICENSE NUMBER |
2901019794 | Other | MI | DENTAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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