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601 Abbott Rd East Lansing MI 48823-3366 | |
| (248) 528-2116 | |
| (248) 528-2963 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 601 Abbott Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Andrew D Feltz (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6148957280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (248) 528-2116 | 601 Abbott Rd East Lansing MI 48823-3366 Ph: (248) 528-2116 |
| NPI Number | 1730339474 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730339474 | NPI | - | NPPES |
| 1730339474 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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