# MICHIGAN MAINSTREET DENTISTRY ANN ARBOR

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

## Provider details

- **NPI number:** 1770125189
- **Authorized official:** GLENN CURTIS DDS (OWNER)
- **Authorized official phone:** (586) 612-0234

## Contact information

- **Practice address:** 625 E LIBERTY ST, ANN ARBOR, MI 48104-2013
- **Practice address phone:** (734) 668-6612
- **Practice address fax:** (734) 668-6608
- **Mailing address:** 625 E LIBERTY ST, ANN ARBOR, MI 48104-2013
- **Mailing address phone:** (734) 668-6612
- **Mailing address fax:** (734) 662-6608

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2019
- **Last updated:** 10/17/2019