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Organization
SHORESIDE FAMILY DENTAL, P.L.C.
Active
Organization
SHORESIDE FAMILY DENTAL, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LOUISE MAROSSY D.D.S. (OWNER)
(586) 773-9840
Entity
Organization
Contact information
Practice address
24116 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1410
(586) 773-9840
(586) 773-9958
Mailing address
24116 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1410
(586) 773-9840
(586) 773-9958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018072
MI
Other
Enumeration date
07/23/2006
Last updated
01/14/2008
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