# BOYNE LAKEVIEW DENTAL P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679887970
- **Authorized official:** MICHAEL FLEMING (PRESIDENT)
- **Authorized official phone:** (231) 582-7101

## Contact information

- **Practice address:** 202 N LAKE ST, BOYNE CITY, MI 49712-1210
- **Practice address phone:** (231) 582-7101
- **Mailing address:** 202 N LAKE ST, BOYNE CITY, MI 49712-1210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 07/29/2010