Organization
GARY A. SCHLUCKEBIER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY SCHLUCKEBIER DDS (OWNER DENTIST)
(989) 875-4721
Entity
Organization
Contact information
Practice address
921 N PINE RIVER ST, ITHACA, MI 48847-1119
(989) 875-4721
(989) 875-6018
Mailing address
921 N PINE RIVER ST, ITHACA, MI 48847-1119
(989) 875-4721
(989) 875-6018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016837
MI
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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