The Dental Clinic | |
1359 Champaign Lincoln Park MI 48146 | |
(313) 386-9660 | |
(313) 386-5515 |
Full Name | The Dental Clinic |
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Speciality | Dentist - General Practice |
Location | 1359 Champaign, Lincoln Park, Michigan |
Authorized Official Name and Position | Katherine Shackleford (OWNER) |
Authorized Official Contact | 3133869660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Dental Clinic 1359 Champaign Lincoln Park MI 48146 Ph: (313) 386-9660 | The Dental Clinic 1359 Champaign Lincoln Park MI 48146 Ph: (313) 386-9660 |
NPI Number | 1265975551 |
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Provider Enumeration Date | 11/18/2016 |
Last Update Date | 11/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265975551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
The Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Champaign, Lincoln Park, MI 48146 Phone: 313-386-9660 Fax: 313-386-5515 | |
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