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Organization
GREAT LAKES FAMILY DENTAL GROUP SAGINAW, PC
Active
Organization
GREAT LAKES FAMILY DENTAL GROUP SAGINAW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J. HART (CORPORATE MANAGER)
(810) 625-2860
Entity
Organization
Contact information
Practice address
427 N. MICHIGAN AVENUE, SAGINAW, MI 48602
(989) 755-0991
(989) 755-0001
Mailing address
G3222 BEECHER RD, FLINT, MI 48532-3614
(810) 230-3245
(810) 230-3229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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