Organization
GREAT LAKES FAMILY DENTAL GROUP-ALMONT,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA J HART (CORPORATE MANAGER)
(810) 625-2860
Entity
Organization
Contact information
Practice address
606 N MAIN ST, ALMONT, MI 48003-8553
(810) 798-8585
Mailing address
606 N MAIN ST, ALMONT, MI 48003-8553
(810) 798-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-ORGANIZATION
DENTAL GROUP
MI
Enumeration date
06/19/2008
Last updated
06/19/2008
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