Organization
REGENCY FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CHRISTI KAYSER RDH BS (DENTAL HYGIENIST/OFFICE MANAGER)
(248) 601-6320
Entity
Organization
Contact information
Practice address
54826 DEQUINDRE RD, SHELBY TOWNSHIP, MI 48316-5625
(248) 601-6320
(248) 601-4416
Mailing address
54826 DEQUINDRE RD, SHELBY TOWNSHIP, MI 48316-5625
(248) 601-6320
(248) 601-4416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901015191
STATE DENTAL LICENSE
MI
Enumeration date
06/09/2022
Last updated
06/09/2022
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