| Smile Fresh Pc | |
|
500 Perry Rd # 205 Grand Blanc MI 48439-1482 | |
| (810) 603-3368 | |
| (810) 771-7364 |
| Full Name | Smile Fresh Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Perry Rd # 205, Grand Blanc, Michigan |
| Authorized Official Name and Position | Fauzi Raziuddin (BUSINESS MANGER) |
| Authorized Official Contact | 8106033368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Fresh Pc 500 Perry Rd # 205 Grand Blanc MI 48439-1482 Ph: (810) 603-3368 | Smile Fresh Pc 500 Perry Rd # 205 Grand Blanc MI 48439-1482 Ph: (810) 603-3368 |
| NPI Number | 1477163939 |
|---|---|
| Provider Enumeration Date | 08/08/2020 |
| Last Update Date | 08/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477163939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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