| Orthodontic Specialists Ltd Pc | |
|
5647 Sashabaw Rd Clarkston MI 48346 | |
| (248) 625-2515 | |
| (248) 625-2297 |
| Full Name | Orthodontic Specialists Ltd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5647 Sashabaw Rd, Clarkston, Michigan |
| Authorized Official Name and Position | Ronei Rodolfo Iacobelle (PRESIDENT) |
| Authorized Official Contact | 2486252515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Specialists Ltd Pc 5647 Sashabaw Rd Clarkston MI 48346 Ph: (248) 625-2515 | Orthodontic Specialists Ltd Pc 5647 Sashabaw Rd Clarkston MI 48346 Ph: (248) 625-2515 |
| NPI Number | 1306994777 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306994777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12807 (Michigan) | Primary |
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