Organization
MACOMB-SHELBY DENTAL
Active
Other names
Macomb-Shelby Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY YEZAK (OFFICE MANAGER)
(586) 677-7944
Entity
Organization
Contact information
Practice address
51210 ROMEO PLANK RD, MACOMB, MI 48042-4129
(586) 677-7944
Mailing address
51210 ROMEO PLANK RD, MACOMB, MI 48042-4129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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