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Organization
WOODLAND LAKE FAMILY DENTAL, PLLC
Active
Organization
WOODLAND LAKE FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R POTTER (DISTRICT MANAGER)
(734) 233-7475
Entity
Organization
Contact information
Practice address
8127 GRAND RIVER RD, BRIGHTON, MI 48114-9375
(810) 229-6740
(810) 225-2344
Mailing address
8127 GRAND RIVER RD, BRIGHTON, MI 48114-9375
(810) 229-6740
(810) 225-2344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/16/2009
Last updated
07/18/2013
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