South Lyon Dental Group, P.l.c. | |
201 S Lafayette St South Lyon MI 48178-1405 | |
(248) 437-4119 | |
Not Available |
Full Name | South Lyon Dental Group, P.l.c. |
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Speciality | Dentist - General Practice |
Location | 201 S Lafayette St, South Lyon, Michigan |
Authorized Official Name and Position | Edward F Stimac (PARTNER) |
Authorized Official Contact | 2484374119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Lyon Dental Group, P.l.c. 201 S Lafayette St South Lyon MI 48178-1405 Ph: (248) 437-4119 | South Lyon Dental Group, P.l.c. 201 S Lafayette St South Lyon MI 48178-1405 Ph: (248) 437-4119 |
NPI Number | 1932240934 |
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Provider Enumeration Date | 02/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1932240934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901011402 (Michigan) | Primary |
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