# CONVENIENT ST, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Convenient Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407020670
- **Authorized official:** MS. MARILYN MOSKAITIS (OFFICE MANAGER)
- **Authorized official phone:** (248) 723-1450

## Contact information

- **Practice address:** 52131 VAN DYKE AVE, SHELBY TWP, MI 48316-3529
- **Practice address phone:** (586) 739-6363
- **Practice address fax:** (586) 739-6473
- **Mailing address:** 52131 VAN DYKE AVE, SHELBY TWP, MI 48316-3529
- **Mailing address phone:** (586) 739-6363
- **Mailing address fax:** (586) 739-6473

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/17/2008