Organization
MICHIGAN DENTAL ASSOCIATES - LANSING PC
Active
Other names
Painless Dentistry IV PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA J HARP (DIRECTOR OF INSURANCE OPERATIONS)
(678) 372-7358
Entity
Organization
Contact information
Practice address
1808 S PENNSYLVANIA AVE, LANSING, MI 48910-1897
(734) 234-6040
Mailing address
999 PEACHTREE ST NE STE 800, ATLANTA, GA 30309-4425
(404) 537-5211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013819
MI
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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