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Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Active
Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Active
Other names
Brownstown Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
23450 ALLEN RD, WOODHAVEN, MI 48183-3376
(734) 479-1200
(734) 479-1277
Mailing address
23450 ALLEN RD, WOODHAVEN, MI 48183-3376
(734) 479-1200
(734) 479-1277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
01/23/2024
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