| Orchard Endodontics Pllc | |
|
52975 Van Dyke Ave Suite 303 Shelby Township MI 48316-3544 | |
| (586) 709-6343 | |
| Not Available |
| Full Name | Orchard Endodontics Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 52975 Van Dyke Ave, Shelby Township, Michigan |
| Authorized Official Name and Position | Jason William Lang (MANAGER) |
| Authorized Official Contact | 5867096343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Endodontics Pllc 52975 Van Dyke Ave Suite 303 Shelby Township MI 48316-3544 Ph: () - | Orchard Endodontics Pllc 52975 Van Dyke Ave Suite 303 Shelby Township MI 48316-3544 Ph: (586) 709-6343 |
| NPI Number | 1568760874 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568760874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2901018376 (Michigan) | Primary |
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