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Organization
GREAT LAKES FAMILY DENTAL GROUP LANSING PC
Active
Organization
GREAT LAKES FAMILY DENTAL GROUP LANSING PC
Active
Other names
Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA J HART (GENERAL MANAGER)
(810) 238-6260
Entity
Organization
Contact information
Practice address
609 E JOLLY ROAD, SUITE 10B, LANSING, MI 48910
(517) 882-7132
(517) 882-6608
Mailing address
609 E JOLLY ROAD, SUITE 10B, LANSING, MI 48910
(517) 882-7132
(517) 882-6608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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