Pgs D-provider Dentistry Pllc | |
1616 Gratiot Blvd Marysville MI 48040-1181 | |
(586) 727-3815 | |
Not Available |
Full Name | Pgs D-provider Dentistry Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1616 Gratiot Blvd, Marysville, Michigan |
Authorized Official Name and Position | Sandi Barnes (OFFICE MANAGER) |
Authorized Official Contact | 5867273815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pgs D-provider Dentistry Pllc 1616 Gratiot Blvd Marysville MI 48040-1181 Ph: (586) 727-3815 | Pgs D-provider Dentistry Pllc 1616 Gratiot Blvd Marysville MI 48040-1181 Ph: (586) 727-3815 |
NPI Number | 1639791585 |
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Provider Enumeration Date | 05/14/2020 |
Last Update Date | 05/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639791585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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