# MICHIGAN MAINSTREET DENTISTRY PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144774274
- **Authorized official:** DR. GLENN CURTIS (OWNER)
- **Authorized official phone:** (248) 625-8494

## Contact information

- **Practice address:** 22 S MAIN ST, CLARKSTON, MI 48346-1524
- **Practice address phone:** (248) 625-8494
- **Mailing address:** 22 S MAIN ST, CLARKSTON, MI 48346-1524
- **Mailing address phone:** (248) 625-8494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2016
- **Last updated:** 08/05/2016