Organization
GRAND BLANC PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATELIN RATLIFF DDS (PRESIDENT)
(734) 660-3424
Entity
Organization
Contact information
Practice address
7227 FENTON RD, GRAND BLANC, MI 48439-8961
(734) 660-3424
Mailing address
7227 FENTON RD, GRAND BLANC, MI 48439-8961
(810) 694-2770
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
07/09/2020
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