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Organization
HILLSTREAM DENTAL OF SHORES PLLC
Active
Organization
HILLSTREAM DENTAL OF SHORES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN LEATH DDS (OWNER)
(586) 296-1140
Entity
Organization
Contact information
Practice address
31850 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1459
(586) 296-1140
Mailing address
31850 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1459
(586) 296-1140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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