| Waterford Dentist Pllc | |
|
4450 W Walton Blvd Waterford MI 48329-4093 | |
| (248) 674-0495 | |
| (248) 674-4308 |
| Full Name | Waterford Dentist Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4450 W Walton Blvd, Waterford, Michigan |
| Authorized Official Name and Position | Kurt Charles Heuerman (MEMBER) |
| Authorized Official Contact | 2486740495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Dentist Pllc 4450 Walton Blvd Waterford MI 48329 Ph: (248) 674-0495 | Waterford Dentist Pllc 4450 W Walton Blvd Waterford MI 48329-4093 Ph: (248) 674-0495 |
| NPI Number | 1538251939 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538251939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Michigan) | Primary |
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