| Park Dental Of Okemos Pc | |
|
2685 Jolly Rd Okemos MI 48864-3553 | |
| (517) 993-5924 | |
| (517) 993-5923 |
| Full Name | Park Dental Of Okemos Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2685 Jolly Rd, Okemos, Michigan |
| Authorized Official Name and Position | Wallace Lee Walker (PRESIDENT) |
| Authorized Official Contact | 5179935924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Of Okemos Pc 2685 Jolly Rd Okemos MI 48864-3553 Ph: (517) 993-5924 | Park Dental Of Okemos Pc 2685 Jolly Rd Okemos MI 48864-3553 Ph: (517) 993-5924 |
| NPI Number | 1477890689 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477890689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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