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Organization
SUMMIT FAMILY DENTAL, P.L.L.C.
Active
Organization
SUMMIT FAMILY DENTAL, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTA LYNN WORTMAN D.D.S. (DENTIST)
(586) 726-0606
Entity
Organization
Contact information
Practice address
8136 21 MILE RD., SHELBY TWP., MI 48317
(586) 726-0606
(586) 726-1523
Mailing address
8136 21 MILE RD., SHELBY TWP., MI 48317
(586) 726-0606
(586) 726-1523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/02/2006
Last updated
10/11/2023
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