# SHORES DENTAL CENTER, P.C.

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

## Provider details

- **NPI number:** 1952357204
- **Authorized official:** MS. PAMELA LYNN KALICH (MANAGER)
- **Authorized official phone:** (586) 293-1530

## Contact information

- **Practice address:** 31549 HARPER AVE, ST CLAIR SHORES, MI 48082-2455
- **Practice address phone:** (586) 293-1530
- **Practice address fax:** (586) 293-1537
- **Mailing address:** 31549 HARPER AVE, ST CLAIR SHORES, MI 48082-2455
- **Mailing address phone:** (586) 293-1530
- **Mailing address fax:** (586) 293-1537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901011906 | MI | Yes |
| 122300000X | Dentist | 2901015365 | MI | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020