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Organization
SHORELINE DENTAL PLLC
Active
Organization
SHORELINE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS J ACHEY DMD (OWNER)
(231) 739-5105
Entity
Organization
Contact information
Practice address
1221 E SHERMAN BLVD, NORTON SHORES, MI 49444-1811
(231) 739-5105
(231) 739-7432
Mailing address
1221 E SHERMAN BLVD, NORTON SHORES, MI 49444-1811
(231) 739-5105
(231) 739-7432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901019459
STATE LICENSE
MI
Enumeration date
01/05/2011
Last updated
07/17/2014
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