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Organization
MID MICHIGAN DENTAL IMPLANT CENTER, PC
Active
Organization
MID MICHIGAN DENTAL IMPLANT CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE DOCKHAM DDS, PC (PRESIDENT)
(866) 438-6464
Entity
Organization
Contact information
Practice address
800 N STATE ST STE 151, STANTON, MI 48888-9708
(866) 438-6464
(989) 831-9020
Mailing address
800 N STATE ST STE 151, STANTON, MI 48888-9708
(866) 438-6464
(989) 831-9020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901013734
MI
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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