Organization
MIKA ORTHODONTICS
Active
Organization
MIKA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHURON RENEE HOLDER (OFFICE MANAGER)
(517) 625-5552
Entity
Organization
Contact information
Practice address
110 N. MAIN ST., PERRY, MI 48872
(517) 625-5552
(517) 625-5049
Mailing address
PO BOX 107, PERRY, MI 48872
(517) 625-5552
(517) 625-5049
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901020672
MI
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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