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Organization
CONVENIENT WL, PC
Active
Organization
CONVENIENT WL, PC
Active
Other names
Convenient Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN MOSKAITIS (OFFICE MANAGER)
(248) 723-1450
Entity
Organization
Contact information
Practice address
1264 S COMMERCE RD, WALLED LAKE, MI 48390-3008
(248) 624-4774
(248) 624-9256
Mailing address
1264 S COMMERCE RD, WALLED LAKE, MI 48390-3008
(248) 624-4774
(248) 624-9256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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