| Lth Dental Group 1 Pllc | |
|
192 W. Highland Rd. Highland MI 48357 | |
| (586) 365-9451 | |
| Not Available |
| Full Name | Lth Dental Group 1 Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 192 W. Highland Rd., Highland, Michigan |
| Authorized Official Name and Position | Justin A Leath (CEO) |
| Authorized Official Contact | 5863659451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lth Dental Group 1 Pllc 5880 Stonehaven Blvd Rochester MI 48306-4941 Ph: (586) 365-9451 | Lth Dental Group 1 Pllc 192 W. Highland Rd. Highland MI 48357 Ph: (586) 365-9451 |
| NPI Number | 1275248056 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275248056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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